Owens & Minor (OMI) 10-Q 5 Nov 18 2018 Q3 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2018	Oct. 29, 2018
Document And Entity Information [Abstract]
Entity Registrant Name	OWENS & MINOR INC/VA/
Entity Central Index Key	75,252
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Document Type	10-Q
Document Period End Date	Sep. 30, 2018
Trading Symbol	OMI
Document Fiscal Year Focus	2,018
Document Fiscal Period Focus	Q3
Amendment Flag	false
Entity Emerging Growth Company	false
Entity Small Business	false
Entity Common Stock, Shares Outstanding		62,268,831

Consolidated Statements of Inco

Consolidated Statements of Income - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Income Statement [Abstract]
Net revenue	$ 2,464,877	$ 2,333,961	$ 7,295,727	$ 6,928,441
Cost of goods sold	2,112,303	2,032,019	6,293,474	6,071,787
Gross margin	352,574	301,942	1,002,253	856,654
Distribution, selling, and administrative expenses	325,012	261,045	918,147	735,353
Goodwill and intangible asset impairment charges	0	0	165,447	0
Acquisition-related and exit and realignment charges	7,727	9,299	47,416	21,134
Other operating (income) expense, net	(1,522)	1,927	(2,281)	2,143
Operating income (loss)	21,357	29,671	(126,476)	98,024
Interest expense, net	23,826	8,737	52,651	22,218
Income (loss) before income taxes	(2,469)	20,934	(179,127)	75,806
Income tax provision (benefit)	(1,904)	10,063	(3,936)	26,010
Net income (loss)	$ (565)	$ 10,871	$ (175,191)	$ 49,796
Net income per common share:
Net income per share attributable to common shareholders: basic and diluted (in USD per share)	$ (0.01)	$ 0.18	$ (2.92)	$ 0.82
Cash dividends in USD per common share	$ 0.26	$ 0.2575	$ 0.78	$ 0.7725

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ (565)	$ 10,871	$ (175,191)	$ 49,796
Other comprehensive income (loss), net of tax:
Currency translation adjustments (net of income tax of $0 in 2018 and 2017)	350	12,254	(11,407)	40,151
Change in unrecognized net periodic pension costs (net of income tax of $161 and $449 in 2018 and $220 and $665 in 2017)	362	236	1,116	702
Net unrealized gain (loss) on derivative instruments and other (net of income tax of $103 and $34 in 2018 and $0 in 2017)	2,320	94	2,204	288
Total other comprehensive income (loss), net of tax	3,032	12,584	(8,087)	41,141
Comprehensive income (loss)	$ 2,467	$ 23,455	$ (183,278)	$ 90,937

Consolidated Statements of Co_2

Consolidated Statements of Comprehensive Income (Loss) (Parenthetical) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Statement of Comprehensive Income [Abstract]
Currency translation adjustment, income tax expense (benefit)	$ 0	$ 0	$ 0	$ 0
Change in unrecognized net periodic pension costs, income tax expense (benefit)	161	220	449	665
Other, income tax expense (benefit)	$ 103	$ 0	$ 34	$ 0

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Current assets
Cash and cash equivalents	$ 124,890	$ 104,522
Accounts receivable, net of allowances of $19,558 and $16,280	870,187	758,936
Merchandise inventories	1,203,838	990,193
Other current assets	293,993	328,254
Total current assets	2,492,908	2,181,905
Property and equipment, net of accumulated depreciation of $259,730 and $239,581	343,710	206,490
Goodwill, net	761,173	713,811
Intangible assets, net	332,172	184,468
Other assets, net	102,318	89,619
Total assets	4,032,281	3,376,293
Current liabilities
Accounts payable	1,107,541	947,572
Accrued payroll and related liabilities	47,404	30,416
Other current liabilities	301,800	331,745
Total current liabilities	1,456,745	1,309,733
Long-term debt, excluding current portion	1,640,455	900,744
Deferred income taxes	66,445	74,247
Other liabilities	76,223	76,090
Total liabilities	3,239,868	2,360,814
Commitments and contingencies
Equity
Common stock, par value $2 per share; authorized - 200,000 shares; issued and outstanding - 62,269 shares and 61,476 shares	124,538	122,952
Paid-in capital	233,920	226,937
Retained earnings	467,126	690,674
Accumulated other comprehensive loss	(33,171)	(25,084)
Total equity	792,413	1,015,479
Total liabilities and equity	$ 4,032,281	$ 3,376,293

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Statement of Financial Position [Abstract]
Accounts receivable, allowances	$ 19,558	$ 16,280
Property and equipment, accumulated depreciation	$ 259,730	$ 239,581
Common stock, par value (in USD per share)	$ 2	$ 2
Common stock, authorized (in shares)	200,000,000	200,000,000
Common stock, issued (in shares)	62,269,000	61,476,000
Common stock, outstanding (in shares)	62,269,000	61,476,000

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Operating activities:
Net income (loss)	$ (175,191)	$ 49,796
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Depreciation and amortization	73,596	41,060
Share-based compensation expense	10,499	8,592
Goodwill and intangible asset impairment charges	165,447	0
Provision for losses on accounts receivable	5,757	1,158
Deferred income tax (benefit) expense	(6,754)	(4,585)
Changes in operating assets and liabilities:
Accounts receivable	(51,603)	(79,114)
Merchandise inventories	21,244	(56,134)
Accounts payable	88,198	79,787
Net change in other assets and liabilities	(11,522)	(40,634)
Other, net	2,838	5,719
Cash provided by (used for) operating activities	122,509	5,645
Investing activities:
Acquisitions, net of cash acquired	(751,834)	(366,569)
Additions to property and equipment	(32,489)	(24,963)
Additions to computer software and intangible assets	(14,816)	(12,826)
Proceeds from sale of property and equipment	258	780
Cash used for investing activities	(798,881)	(403,578)
Financing activities:
Proceeds from issuance of debt	695,750	250,000
Financing costs paid	(28,512)	(1,798)
Repayments of debt	(9,375)	0
Proceeds from revolving credit facility	74,762	117,200
Cash dividends paid	(32,151)	(47,316)
Repurchases of common stock	0	(5,000)
Other, net	(5,308)	(7,363)
Cash provided by financing activities	695,166	305,723
Effect of exchange rate changes on cash and cash equivalents	1,574	5,137
Net increase (decrease) in cash and cash equivalents	20,368	(87,073)
Cash and cash equivalents at beginning of period	104,522	185,488
Cash and cash equivalents at end of period	124,890	98,415
Supplemental disclosure of cash flow information:
Income taxes paid, net	26,570	26,917
Interest paid	$ 45,313	$ 19,951

Consolidated Statements of Chan

Consolidated Statements of Changes in Equity - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock	Paid-In Capital	Retained Earnings	Accumulated Other Comprehensive Income (Loss)
Beginning Balance (in shares) at Dec. 31, 2016		61,031
Beginning Balance at Dec. 31, 2016	$ 960,038	$ 122,062	$ 219,955	$ 685,504	$ (67,483)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	49,796			49,796
Other comprehensive income (loss)	41,141				41,141
Dividends declared	(47,169)			(47,169)
Shares repurchased and retired (in shares)		(155)
Shares repurchased and retired	(4,997)	$ (310)		(4,687)
Share-based compensation expense, exercises and other (shares)		373
Share-based compensation expense, exercises and other	4,975	$ 747	4,228
Ending Balance (in shares) at Sep. 30, 2017		61,249
Ending Balance at Sep. 30, 2017	1,003,784	$ 122,499	224,183	683,444	(26,342)
Beginning Balance at Jun. 30, 2017					(38,926)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	10,871
Other comprehensive income (loss)	12,584
Ending Balance (in shares) at Sep. 30, 2017		61,249
Ending Balance at Sep. 30, 2017	$ 1,003,784	$ 122,499	224,183	683,444	(26,342)
Beginning Balance (in shares) at Dec. 31, 2017	61,476	61,476
Beginning Balance at Dec. 31, 2017	$ 1,015,479	$ 122,952	226,937	690,674	(25,084)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(175,191)			(175,191)
Other comprehensive income (loss)	(8,087)				(8,087)
Dividends declared	(48,357)			(48,357)
Share-based compensation expense, exercises and other (shares)		793
Share-based compensation expense, exercises and other	$ 8,569	$ 1,586	6,983
Ending Balance (in shares) at Sep. 30, 2018	62,269	62,269
Ending Balance at Sep. 30, 2018	$ 792,413	$ 124,538	233,920	467,126	(33,171)
Beginning Balance at Jun. 30, 2018					(36,203)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(565)
Other comprehensive income (loss)	$ 3,032
Ending Balance (in shares) at Sep. 30, 2018	62,269	62,269
Ending Balance at Sep. 30, 2018	$ 792,413	$ 124,538	$ 233,920	$ 467,126	$ (33,171)

Consolidated Statements of Ch_2

Consolidated Statements of Changes in Equity (Parenthetical) - $ / shares	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Statement of Stockholders' Equity [Abstract]
Dividends declared (in USD per share)	$ 0.26	$ 0.2575	$ 0.78	$ 0.7725
Common stock, par value (in USD per share)	$ 2		$ 2		$ 2

Basis of Presentation and Use o

Basis of Presentation and Use of Estimates	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Basis of Presentation The accompanying unaudited consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls (we, us, or our) and contain all adjustments (which are comprised only of normal recurring accruals and use of estimates) necessary to conform with U.S. generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. The results of operations for interim periods are not necessarily indicative of the results expected for the full year. During the first quarter, we made certain changes to the leadership team, organizational structure, budgeting and financial reporting processes which resulted in changes to our segment reporting. These changes align our operations into two distinct business units: Global Solutions and Global Products. Global Solutions (previously Domestic and International) is our U.S. and European distribution, logistics and value-added services business. Global Products (previously Proprietary Products) provides product-related solutions, including surgical and procedural kitting and sourcing. The Halyard Surgical & Infection Prevention business (Halyard S&IP or Halyard), acquired April 30, 2018, is included in the Global Products segment. Beginning with the quarter ended March 31, 2018, we reported financial results using this two segment structure and have recast prior year segment results on the same basis. Reclassifications Certain prior year amounts have been reclassified to conform to current year presentation. Use of Estimates The preparation of consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Actual results may differ from these estimates. Revenue Recognition On January 1, 2018, we adopted ASC 606 Revenue from Contracts with Customers , which establishes principles for recognizing revenue and reporting information about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. We applied the guidance using the modified retrospective transition method. The adoption of this guidance had no impact on the amount and timing of revenue recognized, therefore, no adjustments were recorded to our consolidated financial statements upon adoption. Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the customer upon product receipt. Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on the specific contractual provisions and nature of the performance obligation, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Our contracts sometimes allow for forms of variable consideration including rebates, discounts and performance guarantees. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical experience and we maintain a liability for rebates or discounts that have been earned but are unpaid. The amount accrued for rebates and discounts due to customers was $41.7 million at September 30, 2018 and $13.0 million at December 31, 2017. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. The amount deferred under these arrangements is not material. For our direct to patient sales, revenues are recorded based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances are based upon historical collection rates for the related payor agreements. The estimated reimbursement amounts are made on a payor-specific basis and are recorded based on the best information available regarding management’s interpretation of the applicable laws, regulations and reimbursement terms. In most cases, we record revenue gross, as we are the primary obligor in the arrangement and we obtain control of the products before they are transferred to the customer. When we act as an agent in a sales arrangement and do not bear a significant portion of inventory risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. See Note 14 for disaggregation of revenue by segment and geography as we believe that best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors.

Fair Value

Fair Value	9 Months Ended
	Sep. 30, 2018
Fair Value Disclosures [Abstract]
Fair Value	Fair Value The carrying amounts of cash and cash equivalents, accounts receivable, financing receivables, accounts payable and financing payables included in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings and average remaining maturities (Level 2). We determine the fair value of our derivatives based on estimated amounts that would be received or paid to terminate the contracts at the reporting date based on current market prices for applicable currencies. See Notes 6 and 9 for the fair value of derivatives and long-term debt.

Acquisitions

Acquisitions	9 Months Ended
	Sep. 30, 2018
Business Combinations [Abstract]
Business Combination Disclosure [Text Block]	Acquisitions Avanos Medical Inc.'s (previously Halyard Health, Inc.) S&IP Business On April 30, 2018 (the Closing Date), we completed the previously announced acquisition of substantially all of Avanos Medical, Inc.'s (Avanos, previously Halyard Health, Inc.) Surgical and Infection Prevention business, the name “Halyard Health” (and all variations of that name and related intellectual property rights) and its IT system in exchange for $758 million , net of cash acquired. The Halyard S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare associated infections across acute care and non-acute care markets. This business is reported as part of the Global Products segment. The following table presents the preliminary estimated fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. The allocation of purchase price to assets and liabilities acquired is not yet complete, as valuations of tangible and intangible assets and liabilities are still in process. Preliminary Fair Value (1) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Fair Value Estimated as of Acquisition Date Assets acquired: Current assets $ 307,427 $ — $ 307,427 Goodwill 183,711 19,055 202,766 Intangible assets 191,000 — 191,000 Other noncurrent assets 152,555 1,019 153,574 Total assets 834,693 20,074 854,767 Liabilities assumed: Current liabilities 83,822 1,673 85,495 Noncurrent liabilities 11,223 — 11,223 Total liabilities 95,045 1,673 96,718 Fair value of net assets acquired, net of cash $ 739,648 $ 18,401 $ 758,049 (1) As previously reported in our second quarter 2018 Form 10-Q. The change in fair value of net assets acquired, net of cash, of $18.4 million was the result of the final purchase price settlement with the seller of the Halyard S&IP business. We are amortizing the preliminary fair value of acquired intangible assets, primarily customer relationships, a trade name and other intellectual property, over their estimated weighted average useful lives of eight to 12 years . Goodwill of $203 million , which we assigned to our Global Products segment, consists largely of expected opportunities to expand into new markets and further develop a presence in the medical products segment. None of the goodwill recognized is expected to be deductible for income tax purposes. The following table provides pro forma results of net revenue for the three and nine months ended September 30, 2018 and 2017 as if Halyard S&IP was acquired on January 1, 2017. The pro forma results of net income (loss) and net income (loss) per common share have not been represented because the effects were not material to our historic consolidated financial statements. Accordingly, the pro forma results below are not necessarily indicative of the results that would have been if the acquisition had occurred on the dates indicated, nor are the pro forma results indicative of results which may occur in the future. Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue $ 2,464,877 $ 2,543,961 $ 7,575,727 $ 7,558,441 Byram Healthcare On August 1, 2017, we completed the acquisition of Byram Healthcare, a leading domestic distributor of reimbursable medical supplies sold directly to patients and home health agencies. The consideration was $360 million , net of cash acquired. The purchase price was allocated to the underlying assets acquired and liabilities assumed based upon our estimate of their fair values at the date of acquisition. The purchase price exceeded the estimated fair value of the net tangible and identifiable intangible assets by $284 million which was allocated to goodwill. The following table presents the fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. Preliminary Fair Value (2) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Fair Value as of Acquisition Date Assets acquired: Current assets $ 61,986 $ — $ 61,986 Goodwill 288,691 (4,933 ) 283,758 Intangible assets 115,000 — 115,000 Other noncurrent assets 5,069 (1,282 ) 3,787 Total assets 470,746 (6,215 ) 464,531 Liabilities assumed: Current liabilities 72,962 — 72,962 Noncurrent liabilities 31,215 — 31,215 Total liabilities 104,177 — 104,177 Fair value of net assets acquired, net of cash $ 366,569 $ (6,215 ) $ 360,354 (2) As previously reported in our 2017 Form 10-K. We are amortizing the fair value of acquired intangible assets, primarily chronic customer relationships and a trade name, over their weighted average useful lives of three to 10 years. Goodwill of $284 million , which we assigned to our Global Solutions segment, consists largely of expected opportunities to grow in the non-acute market with direct to patient and home health agency distribution capabilities. None of the goodwill recognized is expected to be deductible for income tax purposes. Pro forma results of operations for Byram have not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements. The change in fair value of net assets acquired, net of cash, of $6.2 million was the result of the final purchase price settlement with the seller of Byram. Acquisition-related expenses in the current quarter and year-to-date consisted primarily of transition and transaction costs for the Halyard S&IP transaction. Expenses in the prior year periods were primarily related to Byram. We recognized pre-tax acquisition-related expenses of $5.7 million and $41.0 million in the three and nine month periods ended September 30, 2018 and $4.3 million and $6.3 million related to these activities in the same periods of 2017.

Financing Receivables and Payab

Financing Receivables and Payables	9 Months Ended
	Sep. 30, 2018
Receivables [Abstract]
Financing Receivables and Payables	Financing Receivables and Payables At September 30, 2018 and December 31, 2017 , we had financing receivables of $146.8 million and $192.1 million and related payables of $88.1 million and $124.9 million outstanding under our order-to-cash program and product financing arrangements, which were included in other current assets and other current liabilities, respectively, in the consolidated balance sheets.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	9 Months Ended
	Sep. 30, 2018
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	Goodwill and Intangible Assets We test goodwill for impairment annually (as of October 1) or more frequently whenever events or circumstances more likely than not indicate that the fair value of the reporting unit may be below its carrying amount. As a result of lower than projected financial results of certain reporting units due to customer losses and operational inefficiencies, which have caused us to revise our expectations with regard to future performance, and a decline in market capitalization of the Company, we determined that there were indicators present that would require an interim impairment analysis. During the quarter ended June 30, 2018, we performed an interim goodwill impairment test and concluded that the fair values for certain reporting units comprising our kitting business within our Global Products segment were below their carrying amount. We determined the estimated fair value of our reporting units by using an income (discounted cash flow analysis) approach. The income approach is dependent upon several assumptions regarding future periods, including assumptions with respect to future sales growth and a terminal growth rate. In addition, a weighted average cost of capital (“WACC”) was used to discount future estimated cash flows to their present values. The WACC was based on externally observable data considering market participants’ cost of equity and debt, optimal capital structure and risk factors specific to our company. In conjunction with our interim impairment testing performed during the quarter ended June 30, 2018, we adopted ASU 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment . See Note 16 for further information. The amount by which the carrying values of the impaired reporting units' goodwill exceeded their fair values was $149.0 million , which was recognized as an impairment loss for the quarter ended June 30, 2018 in the accompanying consolidated statements of income (loss) as “Goodwill and intangible asset impairment charges.” In connection with our new segment structure, which began in the first quarter of 2018, goodwill is now reported as part of Global Solutions or Global Products. There was no change to our underlying reporting units as part of that segment change and therefore no reallocation of goodwill. The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through September 30, 2018: Global Solutions Global Products Consolidated Carrying amount of goodwill, December 31, 2017 $ 495,860 $ 217,951 $ 713,811 Currency translation adjustments (1,013 ) (490 ) (1,503 ) Acquisitions (see Note 3) (4,933 ) 202,766 197,833 Carrying amount of goodwill, September 30, 2018 489,914 420,227 910,141 Accumulated goodwill impairment, December 31, 2017 — — — Goodwill impairment charge — (148,968 ) (148,968 ) Accumulated goodwill impairment, September 30, 2018 — (148,968 ) (148,968 ) Net carrying amount of goodwill, September 30, 2018 $ 489,914 $ 271,259 $ 761,173 Intangible assets at September 30, 2018, and December 31, 2017, were as follows: September 30, 2018 December 31, 2017 Customer Tradenames Other Customer Tradenames Other Gross intangible assets $ 267,850 $ 97,000 $ 44,261 $ 199,265 $ 31,000 $ 12,537 Accumulated amortization (66,233 ) (6,308 ) (4,398 ) (54,757 ) (1,769 ) (1,808 ) Net intangible assets $ 201,617 $ 90,692 $ 39,863 $ 144,508 $ 29,231 $ 10,729 During the quarter ended June 30, 2018, we noted impairment indicators related to our intangible assets. Consistent with the impairment indicators that were considered in performing our interim goodwill impairment assessment, lower than projected financial results of certain reporting units due to customer losses and operational inefficiencies have caused us to revise our expectations with regard to future performance. We performed an impairment test based on the projected undiscounted future cash flows, resulting in the recording of an impairment charge of $16.5 million related to a write-off of customer relationships in our kitting business within our Global Products segment. We recorded this amount in “Goodwill and intangible asset impairment charges” in our accompanying consolidated statements of income (loss). At September 30, 2018, $112.1 million in net intangible assets were held in the Global Solutions segment and $220.1 million were held in the Global Products segment. Amortization expense for intangible assets was $10.4 million and $5.1 million for the three months ended September 30, 2018 and 2017 and $26.1 million and $9.7 million for the nine months ended September 30, 2018 and 2017. Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $10.4 million for the remainder of 2018, $41.6 million for 2019, $40.6 million for 2020, $38.9 million for 2021, $38.0 million for 2022 and $37.8 million for 2023.

Derivatives

Derivatives	9 Months Ended
	Sep. 30, 2018
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivatives	Derivatives We are directly and indirectly affected by changes in foreign currency, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks. We do not enter into derivative financial instruments for trading purposes. We use a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in cash flows. We account for the designated foreign exchange forward contracts as cash flow hedges. These foreign exchange forward contracts generally have maturities up to 12 months and the counterparties to the transactions are typically large international financial institutions. We pay interest under our Credit Agreement which fluctuates based on changes in our benchmark interest rates. In order to mitigate the risk, we entered into interest rate swaps during the third quarter whereby we agree to exchange with the counterparty, at specified intervals, the difference between fixed and variable amounts calculated by reference to the notional amount. The interest rate swaps were designated as cash flow hedges. Cash flows related to the interest rate swap agreements is included in interest expense. We determine the fair value of our foreign currency derivatives and our interest rate swaps based on observable market-based inputs or unobservable inputs that are corroborated by market data. We do not view the fair value of our derivatives in isolation, but rather in relation to the fair values or cash flows of the underlying exposure. Our derivatives are over-the-counter instruments with liquid markets. All derivatives are carried at fair value in our consolidated balance sheets in other assets and other liabilities line items. We consider the risk of counterparty default to be minimal. We present cash flows from our hedging instruments in the same cash flow statement category as the hedged items. The following table summarizes our outstanding cash flow hedges as of September 30, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Interest rate swaps $ 450,000 $ 1,794 Level 2 May 2022 & May 2025 Foreign currency contracts $ 20,595 $ 166 Level 2 December 2018 - September 2019 The following table summarizes the gain (loss) included in accumulated other comprehensive loss for our hedges as of September 30, 2018: Interest rate swaps $ 1,794 Foreign currency contracts $ 166 For the three and nine months ended September 30, 2018, we reclassified $0.4 million associated with our interest rate swaps and $0.1 million and $0.4 million , respectively, associated with our foreign currency contracts out of accumulated other comprehensive income (loss). The amount of ineffectiveness associated with these contracts was immaterial for the periods presented. We enter into foreign currency contracts to manage our foreign exchange exposure related to certain balance sheet items that do not meet the requirements for hedge accounting. With the acquisition of the Halyard business, we also assumed foreign currency contracts that mature through April 2019 and do not meet the requirements for hedge accounting treatment. These derivative instruments are adjusted to fair value at the end of each period through earnings. The gain or loss recorded on these instruments is substantially offset by the remeasurement adjustment on the foreign currency denominated asset or liability. We record the change in fair value of derivative instruments and the remeasurement adjustment on the foreign currency denominated asset or liability in acquisition-related and exit and realignment charges for contracts assumed with the Halyard acquisition and in other operating (income) expense, net for all other foreign exchange contracts. The following table summarizes our outstanding economic (non-designated) hedges as of September 30, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Foreign currency contracts $ 34,817 $ 317 Level 2 October 2018 - April 2019 For the three and nine months ended September 30, 2018, we recognized income of $0.5 million and losses of $2.3 million associated with our economic (non-designated) foreign currency contacts. We were not a party to any derivatives for the year ended December 31, 2017.

Exit and Realignment Charges

Exit and Realignment Charges	9 Months Ended
	Sep. 30, 2018
Restructuring and Related Activities [Abstract]
Exit and Realignment Costs	Exit and Realignment Charges We periodically incur exit and realignment and other charges associated with optimizing our operations, which includes the consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs associated with our strategic organizational realignment which include management changes, certain professional fees and costs to streamline administrative functions and processes. Exit and realignment charges by segment for the three and nine months ended September 30, 2018 and 2017 were as follows: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Global Solutions segment $ 2,085 $ 4,454 $ 6,523 $ 13,827 Global Products segment (80 ) 592 (108 ) 1,015 Total exit and realignment charges $ 2,005 $ 5,046 $ 6,415 $ 14,842 The following table summarizes the activity related to exit and realignment cost accruals through September 30, 2018 and 2017: Lease Obligations Severance and Other Total Accrued exit and realignment costs, December 31, 2017 $ — $ 11,972 $ 11,972 Provision for exit and realignment activities — 2,295 2,295 Change in estimate — (23 ) (23 ) Cash payments — (6,479 ) (6,479 ) Accrued exit and realignment costs, March 31, 2018 — 7,765 7,765 Provision for exit and realignment activities — (415 ) (415 ) Change in estimate — — — Cash payments — (4,207 ) (4,207 ) Accrued exit and realignment costs, June 30, 2018 — 3,143 3,143 Provision for exit and realignment activities — 640 640 Change in estimate — (85 ) (85 ) Cash payments — (2,487 ) (2,487 ) Accrued exit and realignment costs, September 30, 2018 $ — $ 1,211 $ 1,211 Accrued exit and realignment costs, December 31, 2016 $ — $ 2,238 $ 2,238 Provision for exit and realignment activities — 3,211 3,211 Change in estimate — (304 ) (304 ) Cash payments — (3,034 ) (3,034 ) Accrued exit and realignment costs, March 31, 2017 — 2,111 2,111 Provision for exit and realignment activities — 1,382 1,382 Change in estimate — (18 ) (18 ) Cash payments — (667 ) (667 ) Accrued exit and realignment costs, June 30, 2017 — 2,808 2,808 Provision for exit and realignment activities — 3,156 3,156 Cash payments — (423 ) (423 ) Accrued exit and realignment costs, September 30, 2017 $ — $ 5,541 $ 5,541 In addition to the exit and realignment accruals in the preceding table, we also incurred $1.4 million of costs that were expensed as incurred for the quarter ended September 30, 2018, including $0.6 million in information system restructuring costs and $0.8 million in other costs. For the first nine months of 2018, we incurred $4.0 million in costs that were expensed as incurred, including $1.9 million in information system restructuring costs and $2.1 million in other costs. We incurred $1.9 million of costs that were expensed as incurred for the three months ended September 30, 2017, including $1.7 million in information system restructuring costs and $0.2 million in other costs. In the first nine months of 2017, we incurred $7.4 million of costs that were expensed as incurred, including $4.5 million in asset write-downs, $1.9 million in information system restructuring costs and $1.0 million in other costs.

Retirement Plans

Retirement Plans	9 Months Ended
	Sep. 30, 2018
Retirement Benefits [Abstract]
Retirement Plans	Retirement Plans We have a noncontributory, unfunded retirement plan for certain officers and retirees in the United States. Certain of our foreign subsidiaries also have defined benefit pension plans covering substantially all of their respective employees. The components of net periodic benefit cost, which are included in distribution, selling and administrative expenses, for the three and nine months ended September 30, 2018 and 2017 , were as follows: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Service cost $ (28 ) $ 26 $ 10 $ 53 Interest cost 418 474 1,256 1,422 Recognized net actuarial loss 522 456 1,566 1,367 Net periodic benefit cost $ 912 $ 956 $ 2,832 $ 2,842 Certain of our foreign subsidiaries have health and welfare plans covering substantially all of their respective employees. Our expense for these plans totaled $0.5 million and $0.5 million for the three months ended September 30, 2018 and 2017 , respectively and $1.6 million and $1.3 million for the nine months ended September 30, 2018 and 2017 , respectively.

Debt

Debt	9 Months Ended
	Sep. 30, 2018
Debt Disclosure [Abstract]
Debt	Debt We have $275 million of 3.875% senior notes due 2021 (the “2021 Notes”) and $275 million of 4.375% senior notes due 2024 (the “2024 Notes”), with interest payable semi-annually. The 2021 Notes were sold at 99.5% of the principal amount with an effective yield of 3.951% . The 2024 Notes were sold at 99.6% of the principal with an effective yield of 4.422% . We have the option to redeem the 2021 Notes and 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100% of the principal amount or the present value of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points. As of September 30, 2018 and December 31, 2017, the estimated fair value of the 2021 Notes was $258.0 million and $278.1 million and the estimated fair value of the 2024 Notes was $235.5 million and $277.9 million , respectively. We have a Credit Agreement with a borrowing capacity of $600 million and a $250 million Term A-1 loan. In connection with the Halyard S&IP acquisition, we amended our Credit Agreement to include, among others things, an additional $195.8 million Term A-2 loan and $500 million Term B loan. The revolving credit facility and Term A loans mature in July 2022 and the Term B loan matures in October 2025. In connection with amending our Credit Agreement, we entered into a Security and Pledge Agreement (the “Security Agreement”) pursuant to which we granted collateral on behalf of the holders of the 2021 Notes and the 2024 Notes and parties secured on the Credit Agreement (“the Secured Parties") including first priority liens and security interests in (a) all present and future shares of capital stock owned by the Credit Parties (as defined) in the Credit Parties’ present and future subsidiaries (limited, in the case of controlled foreign corporations, to a pledge of 65% of the voting capital stock of each first-tier foreign subsidiary of each Credit Party) and (b) all present and future personal property and assets of the Credit Parties, subject to certain exceptions. Our Credit Agreement has a “springing maturity date” with respect to the revolving loans and the term A loans and the term B loans, if as of the date that is 91 days prior to the maturity date of the Company’s 2021 Notes or the 2024 Notes, respectively, all outstanding amounts owing under the 2021 Notes or the 2024 Notes, respectively, have not been paid in full then the Termination Date (as defined in the Credit Agreement) of the revolving loans, term A loans and term B loans shall be the date that is 91 days prior to the maturity date of the 2021 Notes. We make principal payments under the term loans on a quarterly basis with the remaining outstanding principal due upon maturity. Under the Credit Agreement, we have the ability to request two one -year extensions and to request an increase in aggregate commitments by up to $200 million . The interest rate on our revolving credit facility and Term A loans, which is subject to adjustment quarterly, is based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our credit ratings or debt to EBITDA ratio as defined by the Credit Agreement. Our Term B loan pays interest based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus interest rate margin of 3.50% per annum with respect to Base Rate Loans (as defined in the Credit Agreement), and 4.50% per annum with respect to Eurocurrency Rate Loans (as defined in the Credit Agreement). We are charged a commitment fee of between 12.5 and 25.0 basis points on the unused portion of the facility. The terms of the Credit Agreement limit the amount of indebtedness that we may incur and require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. Based on our Credit Spread, the interest rate under the credit facility at September 30, 2018 is Eurocurrency Rate plus 2.00% . At September 30, 2018, we had borrowings of $179.4 million under the revolver and letters of credit of $13.9 million outstanding under the Credit Agreement, leaving $406.7 million available for borrowing. We also had letters of credit outstanding for $6.4 million as of September 30, 2018 and $1.3 million as of December 31, 2017, which supports certain facilities leased in the United States and Europe. Scheduled future principal payments of debt are $6.9 million in 2018, $27.5 million in 2019, $30.3 million in 2020, $316.6 million in 2021, $527.7 million in 2022, and $753.8 million thereafter. The Credit Agreement and senior notes contain cross-default provisions which could result in the acceleration of payments due in the event of default of either agreement. We believe we were in compliance with our debt covenants at September 30, 2018.

Income Taxes

Income Taxes	9 Months Ended
	Sep. 30, 2018
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The effective tax rate was 77.1% and 2.2% for the three and nine months ended September 30, 2018 , compared to 48.1% and 34.3% in the same periods of 2017 . The change in the effective tax rate compared to 2017 resulted primarily from losses in jurisdictions with full valuation allowances, and discrete items related to tax reform and the release of certain reserves for uncertain tax positions. On a year-to-date basis, the rate was also affected by the goodwill and intangible asset impairment charges in the second quarter which were not deductible for income tax purposes. The liability for unrecognized tax benefits was $9.5 million at September 30, 2018 , and $13.6 million at December 31, 2017 . Included in the liability at September 30, 2018 were $1.7 million of tax positions for which ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. On December 22, 2017, the President signed the Tax Cuts and Jobs Act (the Act). While we substantially completed our analysis of the Act as of December 31, 2017, the amounts recorded for the Act remained provisional for the transition tax, the remeasurement of deferred taxes, our reassessment of permanently reinvested earnings, uncertain tax positions and valuation allowances. During the third quarter of 2018, we recorded a discrete tax benefit of $1.6 million for adjustments related to the transition tax, remeasurement of deferred taxes, and other items. There could be additional regulatory guidance issued or changes in the interpretations and assumptions taken that would adjust the provisional amounts recorded. We included an estimate of the current GILTI impact in our tax provision for 2018, however, we have not yet determined our policy election with respect to whether such taxes are recorded as a current period expense when incurred or whether such amounts should be factored into our measurement of its deferred taxes. Our analysis will be completed in the fourth quarter of 2018.

Net Income per Common Share

Net Income per Common Share	9 Months Ended
	Sep. 30, 2018
Earnings Per Share [Abstract]
Net Income per Common Share	Net Income per Common Share The following summarizes the calculation of net income per common share attributable to common shareholders for the three and nine months ended September 30, 2018 and 2017. Three Months Ended September 30, Nine Months Ended September 30, (in thousands, except per share data) 2018 2017 2018 2017 Numerator: Net income (loss) $ (565 ) $ 10,871 $ (175,191 ) $ 49,796 Less: income allocated to unvested restricted shares — (279 ) — (738 ) Net income (loss) attributable to common shareholders - basic (565 ) 10,592 (175,191 ) 49,058 Add: undistributed income attributable to unvested restricted shares - basic — — — 16 Less: undistributed income attributable to unvested restricted shares - diluted — — — (16 ) Net income (loss) attributable to common shareholders - diluted $ (565 ) $ 10,592 $ (175,191 ) $ 49,058 Denominator: Weighted average shares outstanding - basic and diluted 59,766 59,849 59,996 60,010 Net income (loss) per share attributable to common shareholders: basic and diluted $ (0.01 ) $ 0.18 $ (2.92 ) $ 0.82

Shareholders' Equity

Shareholders' Equity	9 Months Ended
	Sep. 30, 2018
Equity [Abstract]
Shareholders' Equity	Shareholders’ Equity Our Board of Directors has authorized a share repurchase program of up to $100 million of our outstanding common stock to be executed at the discretion of management over a three -year period, expiring in December 2019. The timing of repurchases and the exact number of shares of common stock to be purchased will depend upon market conditions and other factors and may be suspended or discontinued at any time. Purchases under the share repurchase program are made either pursuant to 10b5-1 plans entered into by the company from time to time and/or during the company’s scheduled quarterly trading windows for officers and directors. Our Credit Agreement contains restrictions on the amount and timing of share repurchase activity. This includes prohibiting share repurchases should a default under the Credit Agreement exist prior to or immediately after any share repurchases. There are also limitations depending upon our leverage ratio prior to any share repurchases or on a pro forma basis. We did no t repurchase any shares during the nine months ended September 30, 2018. As of September 30, 2018 , we have approximately $94.0 million remaining under the repurchase program. We have elected to allocate any excess of share repurchase price over par value to retained earnings.

Accumulated Other Comprehensive

Accumulated Other Comprehensive Loss	9 Months Ended
	Sep. 30, 2018
Equity [Abstract]
Accumulated Other Comprehensive Loss	Accumulated Other Comprehensive Loss The following table shows the changes in accumulated other comprehensive income (loss) by component for the three and nine months ended September 30, 2018 and 2017 : Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), June 30, 2018 $ (11,312 ) $ (24,942 ) $ 51 $ (36,203 ) Other comprehensive income (loss) before reclassifications — 350 1,932 2,282 Income tax — — (5 ) (5 ) Other comprehensive income (loss) before reclassifications, net of tax — 350 1,927 2,277 Amounts reclassified from accumulated other comprehensive income (loss) 523 — 491 1,014 Income tax (161 ) — (98 ) (259 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 362 — 393 755 Other comprehensive income (loss) 362 350 2,320 3,032 Accumulated other comprehensive income (loss), September 30, 2018 $ (10,950 ) $ (24,592 ) $ 2,371 $ (33,171 ) Accumulated other comprehensive income (loss), June 30, 2017 $ (10,743 ) $ (28,348 ) $ 165 $ (38,926 ) Other comprehensive income (loss) before reclassifications — 12,254 94 12,348 Income tax — — — — Other comprehensive income (loss) before reclassifications, net of tax — 12,254 94 12,348 Amounts reclassified from accumulated other comprehensive income (loss) 456 — — 456 Income tax (220 ) — — (220 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 236 — — 236 Other comprehensive income (loss) 236 12,254 94 12,584 Accumulated other comprehensive income (loss), September 30, 2017 $ (10,507 ) $ (16,094 ) $ 259 $ (26,342 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Other comprehensive income (loss) before reclassifications — (11,407 ) 2,169 (9,238 ) Income tax — — (21 ) (21 ) Other comprehensive income (loss) before reclassifications, net of tax — (11,407 ) 2,148 (9,259 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,565 — 65 1,630 Income tax (449 ) — (9 ) (458 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,116 — 56 1,172 Other comprehensive income (loss) 1,116 (11,407 ) 2,204 (8,087 ) Accumulated other comprehensive income (loss), September 30, 2018 $ (10,950 ) $ (24,592 ) $ 2,371 $ (33,171 ) Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 ) Other comprehensive income (loss) before reclassifications — 40,151 288 40,439 Income tax — — — — Other comprehensive income (loss) before reclassifications, net of tax — 40,151 288 40,439 Amounts reclassified from accumulated other comprehensive income (loss) 1,367 — — 1,367 Income tax (665 ) — — (665 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 702 — — 702 Other comprehensive income (loss) 702 40,151 288 41,141 Accumulated other comprehensive income (loss), September 30, 2017 $ (10,507 ) $ (16,094 ) $ 259 $ (26,342 ) We include amounts reclassified out of accumulated other comprehensive income (loss) related to defined benefit pension plans as a component of net periodic pension cost recorded in distribution, selling and administrative expenses. For the three and nine months ended September 30, 2018 , we reclassified $0.5 million and $1.6 million of actuarial net losses. For the three and nine months ended September 30, 2017, we reclassified $0.5 million and $1.4 million of actuarial net losses.

Segment Information

Segment Information	9 Months Ended
	Sep. 30, 2018
Segment Reporting [Abstract]
Segment Information	Segment Information We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Global Solutions and Global Products. The Global Solutions segment includes our United States and European distribution, logistics and value-added services business. Global Products provides product-related solutions, including surgical and procedural kitting and sourcing. The Halyard S&IP business, acquired on April 30, 2018, is a part of Global Products. We evaluate the performance of our segments based on their operating income excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Beginning in the second quarter of 2018, the Company is excluding acquisition-related intangible amortization from the measure of segment operating income. This change is consistent with management's internal measure of segment results. Prior periods have been recast on a consistent basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not meaningful. We believe all inter-segment sales are at prices that approximate market. The following tables present financial information by segment: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue: Segment net revenue Global Solutions $ 2,243,782 $ 2,290,804 $ 6,875,077 $ 6,806,126 Global Products 349,895 124,542 750,770 392,654 Total segment net revenue 2,593,677 2,415,346 7,625,847 7,198,780 Inter-segment revenue Global Products (128,800 ) (81,385 ) (330,120 ) (270,339 ) Total inter-segment revenue (128,800 ) (81,385 ) (330,120 ) (270,339 ) Consolidated net revenue $ 2,464,877 $ 2,333,961 $ 7,295,727 $ 6,928,441 Operating income (loss): Global Solutions $ 24,150 $ 37,556 $ 84,742 $ 107,636 Global Products 27,634 10,510 61,351 30,199 Inter-segment eliminations (2,957 ) 416 (3,032 ) (266 ) Goodwill and intangible asset impairment charges — — (165,447 ) — Acquisition-related intangible amortization (10,366 ) (5,071 ) (26,147 ) (9,737 ) Acquisition-related and exit and realignment charges (7,727 ) (9,299 ) (47,416 ) (21,134 ) Other (1) (9,377 ) (4,441 ) (30,527 ) (8,674 ) Consolidated operating income (loss) $ 21,357 $ 29,671 $ (126,476 ) $ 98,024 Depreciation and amortization: Global Solutions $ 15,829 $ 13,906 $ 47,464 $ 35,305 Global Products 13,953 1,947 26,132 5,755 Consolidated depreciation and amortization $ 29,782 $ 15,853 $ 73,596 $ 41,060 Capital expenditures: Global Solutions $ 12,006 $ 12,778 $ 40,152 $ 35,035 Global Products 5,245 718 7,153 2,754 Consolidated capital expenditures $ 17,251 $ 13,496 $ 47,305 $ 37,789 September 30, 2018 December 31, 2017 Total assets: Global Solutions $ 2,779,512 $ 2,870,999 Global Products 1,127,879 400,772 Segment assets 3,907,391 3,271,771 Cash and cash equivalents 124,890 104,522 Consolidated total assets $ 4,032,281 $ 3,376,293 ( 1) Software as a Service (SaaS) implementation costs associated with significant global IT platforms in connection with the redesign of our global information system strategy and incremental charge to cost of goods sold from purchase accounting impacts related to the sale of acquired inventory that was written up to fair value. The following table presents net revenue by geographic area, which were attributed based on the location from which we ship products or provide services. Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue: United States $ 2,200,196 $ 2,214,175 $ 6,694,761 $ 6,577,373 Outside of the United States 264,681 119,786 600,966 351,068 Consolidated net revenue $ 2,464,877 $ 2,333,961 $ 7,295,727 $ 6,928,441

Condensed Consolidating Financi

Condensed Consolidating Financial Information	9 Months Ended
	Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Condensed Consolidating Financial Information	Condensed Consolidating Financial Information The following tables present condensed consolidating financial information for: Owens & Minor, Inc. (O&M); the guarantors of Owens & Minor, Inc.’s 2021 Notes and 2024 Notes, on a combined basis; and the non-guarantor subsidiaries of the 2021 Notes and 2024 Notes, on a combined basis. The guarantor subsidiaries are 100% owned by Owens & Minor, Inc. Separate financial statements of the guarantor subsidiaries are not presented because the guarantees by our guarantor subsidiaries are full and unconditional, as well as joint and several, and we believe the condensed consolidating financial information is more meaningful in understanding the financial position, results of operations and cash flows of the guarantor subsidiaries. Three Months Ended September 30, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 2,242,265 $ 464,567 $ (241,955 ) $ 2,464,877 Cost of goods sold — 2,015,614 335,819 (239,130 ) 2,112,303 Gross margin — 226,651 128,748 (2,825 ) 352,574 Distribution, selling and administrative expenses 92 191,831 133,089 — 325,012 Acquisition-related and exit and realignment charges — 6,818 909 — 7,727 Other operating (income) expense, net — (1,156 ) (366 ) — (1,522 ) Operating income (loss) (92 ) 29,158 (4,884 ) (2,825 ) 21,357 Interest expense (income), net 6,554 15,717 1,555 — 23,826 Income (loss) before income taxes (6,646 ) 13,441 (6,439 ) (2,825 ) (2,469 ) Income tax provision (benefit) (1,729 ) 2,163 (2,338 ) — (1,904 ) Equity in earnings of subsidiaries 4,352 (12,284 ) — 7,932 — Net income (loss) (565 ) (1,006 ) (4,101 ) 5,107 (565 ) Other comprehensive income (loss) 3,032 3,674 3,032 (6,706 ) 3,032 Comprehensive income (loss) $ 2,467 $ 2,668 $ (1,069 ) $ (1,599 ) $ 2,467 Three Months Ended September 30, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 2,113,450 $ 264,765 $ (44,254 ) $ 2,333,961 Cost of goods sold — 1,919,049 157,439 (44,469 ) 2,032,019 Gross margin — 194,401 107,326 215 301,942 Distribution, selling and administrative expenses (117 ) 159,108 102,054 — 261,045 Acquisition-related and exit and realignment charges — 6,960 2,339 — 9,299 Other operating (income) expense, net — 448 1,479 — 1,927 Operating income (loss) 117 27,885 1,454 215 29,671 Interest expense (income), net 7,018 (1,184 ) 2,903 — 8,737 Income (loss) before income taxes (6,901 ) 29,069 (1,449 ) 215 20,934 Income tax provision (benefit) — 7,881 2,182 — 10,063 Equity in earnings of subsidiaries 17,772 (4,105 ) — (13,667 ) — Net income (loss) 10,871 17,083 (3,631 ) (13,452 ) 10,871 Other comprehensive income (loss) 12,584 12,905 12,254 (25,159 ) 12,584 Comprehensive income (loss) $ 23,455 $ 29,988 $ 8,623 $ (38,611 ) $ 23,455 Nine Months Ended September 30, 2018 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 6,572,420 $ 1,163,679 $ (440,372 ) $ 7,295,727 Cost of goods sold — 5,960,655 769,936 (437,117 ) 6,293,474 Gross margin — 611,765 393,743 (3,255 ) 1,002,253 Distribution, selling and administrative expenses 853 531,665 385,629 — 918,147 Acquisition-related and exit and realignment charges — 44,075 3,341 — 47,416 Goodwill and intangible asset impairment charges — — 165,447 — 165,447 Other operating (income) expense, net — 2,447 (4,728 ) — (2,281 ) Operating income (loss) (853 ) 33,578 (155,946 ) (3,255 ) (126,476 ) Interest expense (income), net 20,167 28,061 4,423 — 52,651 Income (loss) before income taxes (21,020 ) 5,517 (160,369 ) (3,255 ) (179,127 ) Income tax provision (benefit) (5,465 ) (278 ) 1,807 — (3,936 ) Equity in earnings of subsidiaries (159,636 ) (45,994 ) — 205,630 — Net income (loss) (175,191 ) (40,199 ) (162,176 ) 202,375 (175,191 ) Other comprehensive income (loss) (8,087 ) (7,619 ) (8,086 ) 15,705 (8,087 ) Comprehensive income (loss) $ (183,278 ) $ (47,818 ) $ (170,262 ) $ 218,080 $ (183,278 ) Nine Months Ended September 30, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 6,436,599 $ 635,900 $ (144,058 ) $ 6,928,441 Cost of goods sold — 5,845,789 369,596 (143,598 ) 6,071,787 Gross margin — 590,810 266,304 (460 ) 856,654 Distribution, selling and administrative expenses 434 480,765 254,154 — 735,353 Acquisition-related and exit and realignment charges — 17,084 4,050 — 21,134 Other operating (income) expense, net — 1,481 662 — 2,143 Operating income (loss) (434 ) 91,480 7,438 (460 ) 98,024 Interest expense (income), net 20,756 (2,777 ) 4,239 — 22,218 Income (loss) before income taxes (21,190 ) 94,257 3,199 (460 ) 75,806 Income tax provision (benefit) — 23,303 2,707 — 26,010 Equity in earnings of subsidiaries 70,986 (2,682 ) — (68,304 ) — Net income (loss) 49,796 68,272 492 (68,764 ) 49,796 Other comprehensive income (loss) 41,141 41,910 40,151 (82,061 ) 41,141 Comprehensive income (loss) $ 90,937 $ 110,182 $ 40,643 $ (150,825 ) $ 90,937 September 30, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non- guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 67,240 $ — $ 57,650 $ — $ 124,890 Accounts receivable, net — 742,145 410,172 (282,130 ) 870,187 Merchandise inventories — 1,012,385 196,286 (4,833 ) 1,203,838 Other current assets 204 121,833 171,956 293,993 Total current assets 67,444 1,876,363 836,064 (286,963 ) 2,492,908 Property and equipment, net — 202,091 141,619 — 343,710 Goodwill, net — 382,772 378,401 — 761,173 Intangible assets, net — 191,547 140,625 — 332,172 Due from O&M and subsidiaries — 633,839 — (633,839 ) — Advances to and investment in consolidated subsidiaries 1,955,218 489,349 — (2,444,567 ) — Other assets, net — 63,071 39,247 — 102,318 Total assets $ 2,022,662 $ 3,839,032 $ 1,535,956 $ (3,365,369 ) $ 4,032,281 Liabilities and equity Current liabilities Accounts payable $ — $ 1,052,834 $ 348,069 $ (293,362 ) $ 1,107,541 Accrued payroll and related liabilities — 19,980 27,424 — 47,404 Other current liabilities 22,797 128,488 150,515 301,800 Total current liabilities 22,797 1,201,302 526,008 (293,362 ) 1,456,745 Long-term debt, excluding current portion 546,082 1,080,426 13,947 — 1,640,455 Due to O&M and subsidiaries 661,370 — 526,764 (1,188,134 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 19,361 47,084 — 66,445 Other liabilities — 60,125 16,098 — 76,223 Total liabilities 1,230,249 2,500,104 1,129,901 (1,620,386 ) 3,239,868 Equity Common stock 124,538 — — — 124,538 Paid-in capital 233,920 174,614 643,031 (817,645 ) 233,920 Retained earnings (deficit) 467,126 1,195,966 (215,591 ) (980,375 ) 467,126 Accumulated other comprehensive income (loss) (33,171 ) (31,652 ) (21,385 ) 53,037 (33,171 ) Total equity 792,413 1,338,928 406,055 (1,744,983 ) 792,413 Total liabilities and equity $ 2,022,662 $ 3,839,032 $ 1,535,956 $ (3,365,369 ) $ 4,032,281 December 31, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Accounts receivable, net — 559,269 206,410 (6,743 ) 758,936 Merchandise inventories — 902,190 89,580 (1,577 ) 990,193 Other current assets 100 123,067 205,087 — 328,254 Total current assets 13,800 1,585,391 591,034 (8,320 ) 2,181,905 Property and equipment, net — 107,010 99,480 — 206,490 Goodwill, net — 180,006 533,805 — 713,811 Intangible assets, net — 9,582 174,886 — 184,468 Due from O&M and subsidiaries — 439,654 — (439,654 ) — Advances to and investments in consolidated subsidiaries 2,114,853 558,429 — (2,673,282 ) — Other assets, net — 57,724 31,895 — 89,619 Total assets $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Liabilities and equity Current liabilities Accounts payable $ — $ 824,307 $ 130,028 $ (6,763 ) $ 947,572 Accrued payroll and related liabilities — 15,504 14,912 — 30,416 Other current liabilities 5,822 140,048 185,875 — 331,745 Total current liabilities 5,822 979,859 330,815 (6,763 ) 1,309,733 Long-term debt, excluding current portion 545,352 340,672 14,720 — 900,744 Due to O&M and subsidiaries 562,000 — 506,703 (1,068,703 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 25,493 48,754 — 74,247 Other liabilities — 66,136 9,954 — 76,090 Total liabilities 1,113,174 1,551,050 910,946 (1,214,356 ) 2,360,814 Equity Common stock 122,952 — — — 122,952 Paid-in capital 226,937 174,614 583,869 (758,483 ) 226,937 Retained earnings (deficit) 690,674 1,236,165 (50,416 ) (1,185,749 ) 690,674 Accumulated other comprehensive income (loss) (25,084 ) (24,033 ) (13,299 ) 37,332 (25,084 ) Total equity 1,015,479 1,386,746 520,154 (1,906,900 ) 1,015,479 Total liabilities and equity $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Nine Months Ended September 30, 2018 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ (175,191 ) $ (40,199 ) $ (162,176 ) $ 202,375 $ (175,191 ) Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities: Equity in earnings of subsidiaries 159,636 45,994 — (205,630 ) — Intercompany dividend — 15,000 — (15,000 ) — Depreciation and amortization — 25,146 48,450 — 73,596 Share-based compensation expense — 10,499 — — 10,499 Goodwill and intangible asset impairment charges — — 165,447 — 165,447 Provision for losses on accounts receivable — (1,206 ) 6,963 — 5,757 Deferred income tax (benefit) expense — (6,506 ) (248 ) — (6,754 ) Changes in operating assets and liabilities: Accounts receivable — (111,108 ) (215,882 ) 275,387 (51,603 ) Merchandise inventories — 124,822 (106,832 ) 3,254 21,244 Accounts payable — 154,987 219,805 (286,594 ) 88,198 Net change in other assets and liabilities 16,959 (76,608 ) 36,919 11,208 (11,522 ) Other, net 641 988 1,209 — 2,838 Cash provided by (used for) operating activities 2,045 141,809 (6,345 ) (15,000 ) 122,509 Investing activities: Acquisitions, net of cash acquired — (751,834 ) — (751,834 ) Additions to property and equipment — (20,754 ) (11,735 ) — (32,489 ) Additions to computer software and intangible assets — (12,351 ) (2,465 ) — (14,816 ) Proceeds from the sale of property and equipment — — 258 — 258 Cash used for investing activities — (784,939 ) (13,942 ) — (798,881 ) Financing activities: Change in intercompany advances 85,643 (89,239 ) 3,596 — — Intercompany dividend — — (15,000 ) 15,000 — Proceeds from issuance of debt — 695,750 — — 695,750 Financing costs paid — (28,512 ) — — (28,512 ) Repayments of debt — (9,375 ) — — (9,375 ) Proceeds from revolving credit facility — 74,762 — — 74,762 Cash dividends paid (32,151 ) — — — (32,151 ) Other, net (1,997 ) (1,121 ) (2,190 ) — (5,308 ) Cash provided by (used for) financing activities 51,495 642,265 (13,594 ) 15,000 695,166 Effect of exchange rate changes on cash and cash equivalents — — 1,574 — 1,574 Net increase (decrease) in cash and cash equivalents 53,540 (865 ) (32,307 ) — 20,368 Cash and cash equivalents at beginning of period 13,700 865 89,957 — 104,522 Cash and cash equivalents at end of period $ 67,240 $ — $ 57,650 $ — $ 124,890 Nine Months Ended September 30, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 49,796 $ 68,272 $ 492 $ (68,764 ) $ 49,796 Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (70,986 ) 2,682 — 68,304 — Depreciation and amortization — 23,281 17,779 — 41,060 Share-based compensation expense — 8,592 — — 8,592 Provision for losses on accounts receivable — (377 ) 1,535 — 1,158 Deferred income tax (benefit) expense — (1,208 ) (3,377 ) — (4,585 ) Changes in operating assets and liabilities: Accounts receivable — (68,655 ) (8,047 ) (2,412 ) (79,114 ) Merchandise inventories — (52,840 ) (3,753 ) 459 (56,134 ) Accounts payable — 85,591 (8,217 ) 2,413 79,787 Net change in other assets and liabilities (65 ) (25,431 ) (15,138 ) — (40,634 ) Other, net (1 ) 5,716 4 — 5,719 Cash provided by (used for) operating activities (21,256 ) 45,623 (18,722 ) — 5,645 Investing activities: Acquisitions, net of cash acquired — — (366,569 ) — (366,569 ) Additions to property and equipment — (17,884 ) (7,079 ) — (24,963 ) Additions to computer software and intangible assets — (5,333 ) (7,493 ) — (12,826 ) Proceeds from the sale of property and equipment — 198 582 — 780 Cash used for investing activities — (23,019 ) (380,559 ) — (403,578 ) Financing activities: Change in intercompany advances 50,452 (87,278 ) 36,826 — — Proceeds from debt issuance — — 250,000 — 250,000 Borrowings from revolving credit facility — 6,013 111,187 — 117,200 Financing costs paid — — (1,798 ) — (1,798 ) Cash dividends paid (47,316 ) — — — (47,316 ) Repurchases of common stock (5,000 ) — — — (5,000 ) Other, net (3,439 ) (1,460 ) (2,464 ) — (7,363 ) Cash provided by (used for) financing activities (5,303 ) (82,725 ) 393,751 — 305,723 Effect of exchange rate changes on cash and cash equivalents — — 5,137 — 5,137 Net increase (decrease) in cash and cash equivalents (26,559 ) (60,121 ) (393 ) — (87,073 ) Cash and cash equivalents at beginning of period 38,015 61,266 86,207 — 185,488 Cash and cash equivalents at end of period $ 11,456 $ 1,145 $ 85,814 $ — $ 98,415

Recent Accounting Pronouncement

Recent Accounting Pronouncements	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Recent Accounting Pronouncements	Recent Accounting Pronouncements In May 2014, the Financial Accounting Standards Board ("FASB") issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606) which amended the existing accounting standards for revenue recognition. ASU 2014-09 establishes principles for recognizing revenue upon the transfer of promised goods or services to customers, in an amount that reflects the expected consideration received in exchange for those goods or services. We adopted ASU 2014-09 in the first quarter of 2018 using the modified retrospective approach. The impact on our consolidated financial statements is not material. See Note 1 for further information. In February 2016, the FASB established Topic 842, Leases , by issuing Accounting Standards Update (ASU) No. 2016-02, which requires lessees to recognize leases on-balance sheet and disclose key information about leasing arrangements. Topic 842 was subsequently amended by ASU No. 2018-01, Land Easement Practical Expedient for Transition to Topic 842; ASU No. 2018-10, Codification Improvements to Topic 842, Leases; and ASU No. 2018-11, Targeted Improvements. The new standard establishes a right-of-use model (ROU) that requires a lessee to recognize a ROU asset and lease liability on the balance sheet for all leases with a term longer than 12 months. Leases will be classified as finance or operating, with classification affecting the pattern and classification of expense recognition in the income statement. The new standard is effective for us on January 1, 2019, with early adoption permitted. We expect to adopt the new standard on its effective date. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The entity must also recast its comparative period consolidated financial statements and provide the disclosures required by the new standard for the comparative periods. We expect to adopt the new standard on January 1, 2019 and use the effective date as our date of initial application. Consequently, financial information will not be updated and the disclosures required under the new standard will not be provided for dates and periods before January 1, 2019. The new standard provides a number of optional practical expedients in transition. We expect to elect the ‘package of practical expedients’, which permits us not to reassess under the new standard our prior conclusions about lease identification, lease classification and initial direct costs. We do not expect to elect the use-of-hindsight or the practical expedient pertaining to land easements; the latter not being applicable to us. We expect that this standard will have a material effect on our consolidated financial statements. While we continue to assess all of the effects of adoption, we currently believe the most significant effects relate to (1) the recognition of new ROU assets and lease liabilities on our balance sheet for our office and warehouse facility operating leases, and (2) providing significant new disclosures about our leasing activities. The new standard also provides practical expedients for an entity’s ongoing accounting. We currently expect to elect the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, we will not recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for existing short-term leases of those assets in transition. We also currently expect to elect the practical expedient to not separate lease and non-lease components for all of our leases. In January 2017, the FASB issued Accounting Standards Update No. 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment, to simplify the subsequent measurement of goodwill. The new guidance eliminates the requirement for an entity to calculate the implied fair value of goodwill to measure a goodwill impairment charge. Instead, an entity will perform its annual, or interim, goodwill impairment testing by comparing the fair value of a reporting unit with its carrying amount and recording an impairment charge for the amount by which the carrying amount exceeds the fair value. We early adopted this guidance in conjunction with our interim impairment testing performed during the quarter ended June 30, 2018. There have been no changes in our significant accounting policies from those contained in our Annual Report on Form 10-K for the year ended December 31, 2017.

Basis of Presentation and Use_2

Basis of Presentation and Use of Estimates (Policies)	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls (we, us, or our) and contain all adjustments (which are comprised only of normal recurring accruals and use of estimates) necessary to conform with U.S. generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. The results of operations for interim periods are not necessarily indicative of the results expected for the full year. During the first quarter, we made certain changes to the leadership team, organizational structure, budgeting and financial reporting processes which resulted in changes to our segment reporting. These changes align our operations into two distinct business units: Global Solutions and Global Products. Global Solutions (previously Domestic and International) is our U.S. and European distribution, logistics and value-added services business. Global Products (previously Proprietary Products) provides product-related solutions, including surgical and procedural kitting and sourcing. The Halyard Surgical & Infection Prevention business (Halyard S&IP or Halyard), acquired April 30, 2018, is included in the Global Products segment. Beginning with the quarter ended March 31, 2018, we reported financial results using this two segment structure and have recast prior year segment results on the same basis
Reclassifications	Reclassifications Certain prior year amounts have been reclassified to conform to current year presentation.
Use of Estimates	Use of Estimates The preparation of consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Actual results may differ from these estimates.
Revenue Recognition	Revenue Recognition On January 1, 2018, we adopted ASC 606 Revenue from Contracts with Customers , which establishes principles for recognizing revenue and reporting information about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. We applied the guidance using the modified retrospective transition method. The adoption of this guidance had no impact on the amount and timing of revenue recognized, therefore, no adjustments were recorded to our consolidated financial statements upon adoption. Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the customer upon product receipt. Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on the specific contractual provisions and nature of the performance obligation, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Our contracts sometimes allow for forms of variable consideration including rebates, discounts and performance guarantees. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical experience and we maintain a liability for rebates or discounts that have been earned but are unpaid. The amount accrued for rebates and discounts due to customers was $41.7 million at September 30, 2018 and $13.0 million at December 31, 2017. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. The amount deferred under these arrangements is not material. For our direct to patient sales, revenues are recorded based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances are based upon historical collection rates for the related payor agreements. The estimated reimbursement amounts are made on a payor-specific basis and are recorded based on the best information available regarding management’s interpretation of the applicable laws, regulations and reimbursement terms. In most cases, we record revenue gross, as we are the primary obligor in the arrangement and we obtain control of the products before they are transferred to the customer. When we act as an agent in a sales arrangement and do not bear a significant portion of inventory risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. See Note 14 for disaggregation of revenue by segment and geography as we believe that best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors.
Fair Value	The carrying amounts of cash and cash equivalents, accounts receivable, financing receivables, accounts payable and financing payables included in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings and average remaining maturities (Level 2). We determine the fair value of our derivatives based on estimated amounts that would be received or paid to terminate the contracts at the reporting date based on current market prices for applicable currencies.
Share Repurchase	We have elected to allocate any excess of share repurchase price over par value to retained earnings.
Segment Reporting	We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Global Solutions and Global Products. The Global Solutions segment includes our United States and European distribution, logistics and value-added services business. Global Products provides product-related solutions, including surgical and procedural kitting and sourcing. The Halyard S&IP business, acquired on April 30, 2018, is a part of Global Products. We evaluate the performance of our segments based on their operating income excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Beginning in the second quarter of 2018, the Company is excluding acquisition-related intangible amortization from the measure of segment operating income. This change is consistent with management's internal measure of segment results. Prior periods have been recast on a consistent basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not meaningful. We believe all inter-segment sales are at prices that approximate market.
Recent Accounting Pronouncements	Recent Accounting Pronouncements In May 2014, the Financial Accounting Standards Board ("FASB") issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606) which amended the existing accounting standards for revenue recognition. ASU 2014-09 establishes principles for recognizing revenue upon the transfer of promised goods or services to customers, in an amount that reflects the expected consideration received in exchange for those goods or services. We adopted ASU 2014-09 in the first quarter of 2018 using the modified retrospective approach. The impact on our consolidated financial statements is not material. See Note 1 for further information. In February 2016, the FASB established Topic 842, Leases , by issuing Accounting Standards Update (ASU) No. 2016-02, which requires lessees to recognize leases on-balance sheet and disclose key information about leasing arrangements. Topic 842 was subsequently amended by ASU No. 2018-01, Land Easement Practical Expedient for Transition to Topic 842; ASU No. 2018-10, Codification Improvements to Topic 842, Leases; and ASU No. 2018-11, Targeted Improvements. The new standard establishes a right-of-use model (ROU) that requires a lessee to recognize a ROU asset and lease liability on the balance sheet for all leases with a term longer than 12 months. Leases will be classified as finance or operating, with classification affecting the pattern and classification of expense recognition in the income statement. The new standard is effective for us on January 1, 2019, with early adoption permitted. We expect to adopt the new standard on its effective date. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The entity must also recast its comparative period consolidated financial statements and provide the disclosures required by the new standard for the comparative periods. We expect to adopt the new standard on January 1, 2019 and use the effective date as our date of initial application. Consequently, financial information will not be updated and the disclosures required under the new standard will not be provided for dates and periods before January 1, 2019. The new standard provides a number of optional practical expedients in transition. We expect to elect the ‘package of practical expedients’, which permits us not to reassess under the new standard our prior conclusions about lease identification, lease classification and initial direct costs. We do not expect to elect the use-of-hindsight or the practical expedient pertaining to land easements; the latter not being applicable to us. We expect that this standard will have a material effect on our consolidated financial statements. While we continue to assess all of the effects of adoption, we currently believe the most significant effects relate to (1) the recognition of new ROU assets and lease liabilities on our balance sheet for our office and warehouse facility operating leases, and (2) providing significant new disclosures about our leasing activities. The new standard also provides practical expedients for an entity’s ongoing accounting. We currently expect to elect the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, we will not recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for existing short-term leases of those assets in transition. We also currently expect to elect the practical expedient to not separate lease and non-lease components for all of our leases. In January 2017, the FASB issued Accounting Standards Update No. 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment, to simplify the subsequent measurement of goodwill. The new guidance eliminates the requirement for an entity to calculate the implied fair value of goodwill to measure a goodwill impairment charge. Instead, an entity will perform its annual, or interim, goodwill impairment testing by comparing the fair value of a reporting unit with its carrying amount and recording an impairment charge for the amount by which the carrying amount exceeds the fair value. We early adopted this guidance in conjunction with our interim impairment testing performed during the quarter ended June 30, 2018. There have been no changes in our significant accounting policies from those contained in our Annual Report on Form 10-K for the year ended December 31, 2017.

Acquisitions (Tables)

Acquisitions (Tables)	9 Months Ended
	Sep. 30, 2018
Business Combinations [Abstract]
Schedule of Business Acquisitions, by Acquisition [Table Text Block]	The allocation of purchase price to assets and liabilities acquired is not yet complete, as valuations of tangible and intangible assets and liabilities are still in process. Preliminary Fair Value (1) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Fair Value Estimated as of Acquisition Date Assets acquired: Current assets $ 307,427 $ — $ 307,427 Goodwill 183,711 19,055 202,766 Intangible assets 191,000 — 191,000 Other noncurrent assets 152,555 1,019 153,574 Total assets 834,693 20,074 854,767 Liabilities assumed: Current liabilities 83,822 1,673 85,495 Noncurrent liabilities 11,223 — 11,223 Total liabilities 95,045 1,673 96,718 Fair value of net assets acquired, net of cash $ 739,648 $ 18,401 $ 758,049 (1) As previously reported in our second quarter 2018 Form 10-Q. The following table presents the fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. Preliminary Fair Value (2) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Fair Value as of Acquisition Date Assets acquired: Current assets $ 61,986 $ — $ 61,986 Goodwill 288,691 (4,933 ) 283,758 Intangible assets 115,000 — 115,000 Other noncurrent assets 5,069 (1,282 ) 3,787 Total assets 470,746 (6,215 ) 464,531 Liabilities assumed: Current liabilities 72,962 — 72,962 Noncurrent liabilities 31,215 — 31,215 Total liabilities 104,177 — 104,177 Fair value of net assets acquired, net of cash $ 366,569 $ (6,215 ) $ 360,354 (2) As previously reported in our 2017 Form 10-K.
Schedule of Business Acquisition, Pro Forma Information	The following table provides pro forma results of net revenue for the three and nine months ended September 30, 2018 and 2017 as if Halyard S&IP was acquired on January 1, 2017. The pro forma results of net income (loss) and net income (loss) per common share have not been represented because the effects were not material to our historic consolidated financial statements. Accordingly, the pro forma results below are not necessarily indicative of the results that would have been if the acquisition had occurred on the dates indicated, nor are the pro forma results indicative of results which may occur in the future. Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue $ 2,464,877 $ 2,543,961 $ 7,575,727 $ 7,558,441

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	9 Months Ended
	Sep. 30, 2018
Goodwill and Intangible Assets Disclosure [Abstract]
Changes in Carrying Amount of Goodwill	The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through September 30, 2018: Global Solutions Global Products Consolidated Carrying amount of goodwill, December 31, 2017 $ 495,860 $ 217,951 $ 713,811 Currency translation adjustments (1,013 ) (490 ) (1,503 ) Acquisitions (see Note 3) (4,933 ) 202,766 197,833 Carrying amount of goodwill, September 30, 2018 489,914 420,227 910,141 Accumulated goodwill impairment, December 31, 2017 — — — Goodwill impairment charge — (148,968 ) (148,968 ) Accumulated goodwill impairment, September 30, 2018 — (148,968 ) (148,968 ) Net carrying amount of goodwill, September 30, 2018 $ 489,914 $ 271,259 $ 761,173
Intangible Assets	Intangible assets at September 30, 2018, and December 31, 2017, were as follows: September 30, 2018 December 31, 2017 Customer Tradenames Other Customer Tradenames Other Gross intangible assets $ 267,850 $ 97,000 $ 44,261 $ 199,265 $ 31,000 $ 12,537 Accumulated amortization (66,233 ) (6,308 ) (4,398 ) (54,757 ) (1,769 ) (1,808 ) Net intangible assets $ 201,617 $ 90,692 $ 39,863 $ 144,508 $ 29,231 $ 10,729

Derivatives (Tables)

Derivatives (Tables)	9 Months Ended
	Sep. 30, 2018
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments [Table Text Block]	The following table summarizes our outstanding cash flow hedges as of September 30, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Interest rate swaps $ 450,000 $ 1,794 Level 2 May 2022 & May 2025 Foreign currency contracts $ 20,595 $ 166 Level 2 December 2018 - September 2019 The following table summarizes our outstanding economic (non-designated) hedges as of September 30, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Foreign currency contracts $ 34,817 $ 317 Level 2 October 2018 - April 2019
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]	The following table summarizes the gain (loss) included in accumulated other comprehensive loss for our hedges as of September 30, 2018: Interest rate swaps $ 1,794 Foreign currency contracts $ 166

Exit and Realignment Charges (T

Exit and Realignment Charges (Tables)	9 Months Ended
	Sep. 30, 2018
Restructuring and Related Activities [Abstract]
Summary of Accrued Exit Costs	Exit and realignment charges by segment for the three and nine months ended September 30, 2018 and 2017 were as follows: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Global Solutions segment $ 2,085 $ 4,454 $ 6,523 $ 13,827 Global Products segment (80 ) 592 (108 ) 1,015 Total exit and realignment charges $ 2,005 $ 5,046 $ 6,415 $ 14,842
Schedule of Restructuring and Related Costs Accrual Activity	The following table summarizes the activity related to exit and realignment cost accruals through September 30, 2018 and 2017: Lease Obligations Severance and Other Total Accrued exit and realignment costs, December 31, 2017 $ — $ 11,972 $ 11,972 Provision for exit and realignment activities — 2,295 2,295 Change in estimate — (23 ) (23 ) Cash payments — (6,479 ) (6,479 ) Accrued exit and realignment costs, March 31, 2018 — 7,765 7,765 Provision for exit and realignment activities — (415 ) (415 ) Change in estimate — — — Cash payments — (4,207 ) (4,207 ) Accrued exit and realignment costs, June 30, 2018 — 3,143 3,143 Provision for exit and realignment activities — 640 640 Change in estimate — (85 ) (85 ) Cash payments — (2,487 ) (2,487 ) Accrued exit and realignment costs, September 30, 2018 $ — $ 1,211 $ 1,211 Accrued exit and realignment costs, December 31, 2016 $ — $ 2,238 $ 2,238 Provision for exit and realignment activities — 3,211 3,211 Change in estimate — (304 ) (304 ) Cash payments — (3,034 ) (3,034 ) Accrued exit and realignment costs, March 31, 2017 — 2,111 2,111 Provision for exit and realignment activities — 1,382 1,382 Change in estimate — (18 ) (18 ) Cash payments — (667 ) (667 ) Accrued exit and realignment costs, June 30, 2017 — 2,808 2,808 Provision for exit and realignment activities — 3,156 3,156 Cash payments — (423 ) (423 ) Accrued exit and realignment costs, September 30, 2017 $ — $ 5,541 $ 5,541

Retirement Plans (Tables)

Retirement Plans (Tables)	9 Months Ended
	Sep. 30, 2018
Retirement Benefits [Abstract]
Schedule of Components of Net Periodic Benefit Cost for Domestic Retirement Plan	The components of net periodic benefit cost, which are included in distribution, selling and administrative expenses, for the three and nine months ended September 30, 2018 and 2017 , were as follows: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Service cost $ (28 ) $ 26 $ 10 $ 53 Interest cost 418 474 1,256 1,422 Recognized net actuarial loss 522 456 1,566 1,367 Net periodic benefit cost $ 912 $ 956 $ 2,832 $ 2,842

Net Income per Common Share (Ta

Net Income per Common Share (Tables)	9 Months Ended
	Sep. 30, 2018
Earnings Per Share [Abstract]
Summary of Calculation of Net Income Per Common Share	The following summarizes the calculation of net income per common share attributable to common shareholders for the three and nine months ended September 30, 2018 and 2017. Three Months Ended September 30, Nine Months Ended September 30, (in thousands, except per share data) 2018 2017 2018 2017 Numerator: Net income (loss) $ (565 ) $ 10,871 $ (175,191 ) $ 49,796 Less: income allocated to unvested restricted shares — (279 ) — (738 ) Net income (loss) attributable to common shareholders - basic (565 ) 10,592 (175,191 ) 49,058 Add: undistributed income attributable to unvested restricted shares - basic — — — 16 Less: undistributed income attributable to unvested restricted shares - diluted — — — (16 ) Net income (loss) attributable to common shareholders - diluted $ (565 ) $ 10,592 $ (175,191 ) $ 49,058 Denominator: Weighted average shares outstanding - basic and diluted 59,766 59,849 59,996 60,010 Net income (loss) per share attributable to common shareholders: basic and diluted $ (0.01 ) $ 0.18 $ (2.92 ) $ 0.82

Accumulated Other Comprehensi_2

Accumulated Other Comprehensive Loss (Tables)	9 Months Ended
	Sep. 30, 2018
Equity [Abstract]
Changes in Accumulated Other Comprehensive Income (Loss) by Component	The following table shows the changes in accumulated other comprehensive income (loss) by component for the three and nine months ended September 30, 2018 and 2017 : Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), June 30, 2018 $ (11,312 ) $ (24,942 ) $ 51 $ (36,203 ) Other comprehensive income (loss) before reclassifications — 350 1,932 2,282 Income tax — — (5 ) (5 ) Other comprehensive income (loss) before reclassifications, net of tax — 350 1,927 2,277 Amounts reclassified from accumulated other comprehensive income (loss) 523 — 491 1,014 Income tax (161 ) — (98 ) (259 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 362 — 393 755 Other comprehensive income (loss) 362 350 2,320 3,032 Accumulated other comprehensive income (loss), September 30, 2018 $ (10,950 ) $ (24,592 ) $ 2,371 $ (33,171 ) Accumulated other comprehensive income (loss), June 30, 2017 $ (10,743 ) $ (28,348 ) $ 165 $ (38,926 ) Other comprehensive income (loss) before reclassifications — 12,254 94 12,348 Income tax — — — — Other comprehensive income (loss) before reclassifications, net of tax — 12,254 94 12,348 Amounts reclassified from accumulated other comprehensive income (loss) 456 — — 456 Income tax (220 ) — — (220 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 236 — — 236 Other comprehensive income (loss) 236 12,254 94 12,584 Accumulated other comprehensive income (loss), September 30, 2017 $ (10,507 ) $ (16,094 ) $ 259 $ (26,342 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Other comprehensive income (loss) before reclassifications — (11,407 ) 2,169 (9,238 ) Income tax — — (21 ) (21 ) Other comprehensive income (loss) before reclassifications, net of tax — (11,407 ) 2,148 (9,259 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,565 — 65 1,630 Income tax (449 ) — (9 ) (458 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,116 — 56 1,172 Other comprehensive income (loss) 1,116 (11,407 ) 2,204 (8,087 ) Accumulated other comprehensive income (loss), September 30, 2018 $ (10,950 ) $ (24,592 ) $ 2,371 $ (33,171 ) Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 ) Other comprehensive income (loss) before reclassifications — 40,151 288 40,439 Income tax — — — — Other comprehensive income (loss) before reclassifications, net of tax — 40,151 288 40,439 Amounts reclassified from accumulated other comprehensive income (loss) 1,367 — — 1,367 Income tax (665 ) — — (665 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 702 — — 702 Other comprehensive income (loss) 702 40,151 288 41,141 Accumulated other comprehensive income (loss), September 30, 2017 $ (10,507 ) $ (16,094 ) $ 259 $ (26,342 )

Segment Information (Tables)

Segment Information (Tables)	9 Months Ended
	Sep. 30, 2018
Segment Reporting [Abstract]
Financial Information by Segment	The following tables present financial information by segment: Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue: Segment net revenue Global Solutions $ 2,243,782 $ 2,290,804 $ 6,875,077 $ 6,806,126 Global Products 349,895 124,542 750,770 392,654 Total segment net revenue 2,593,677 2,415,346 7,625,847 7,198,780 Inter-segment revenue Global Products (128,800 ) (81,385 ) (330,120 ) (270,339 ) Total inter-segment revenue (128,800 ) (81,385 ) (330,120 ) (270,339 ) Consolidated net revenue $ 2,464,877 $ 2,333,961 $ 7,295,727 $ 6,928,441 Operating income (loss): Global Solutions $ 24,150 $ 37,556 $ 84,742 $ 107,636 Global Products 27,634 10,510 61,351 30,199 Inter-segment eliminations (2,957 ) 416 (3,032 ) (266 ) Goodwill and intangible asset impairment charges — — (165,447 ) — Acquisition-related intangible amortization (10,366 ) (5,071 ) (26,147 ) (9,737 ) Acquisition-related and exit and realignment charges (7,727 ) (9,299 ) (47,416 ) (21,134 ) Other (1) (9,377 ) (4,441 ) (30,527 ) (8,674 ) Consolidated operating income (loss) $ 21,357 $ 29,671 $ (126,476 ) $ 98,024 Depreciation and amortization: Global Solutions $ 15,829 $ 13,906 $ 47,464 $ 35,305 Global Products 13,953 1,947 26,132 5,755 Consolidated depreciation and amortization $ 29,782 $ 15,853 $ 73,596 $ 41,060 Capital expenditures: Global Solutions $ 12,006 $ 12,778 $ 40,152 $ 35,035 Global Products 5,245 718 7,153 2,754 Consolidated capital expenditures $ 17,251 $ 13,496 $ 47,305 $ 37,789
Consolidated Total Assets	September 30, 2018 December 31, 2017 Total assets: Global Solutions $ 2,779,512 $ 2,870,999 Global Products 1,127,879 400,772 Segment assets 3,907,391 3,271,771 Cash and cash equivalents 124,890 104,522 Consolidated total assets $ 4,032,281 $ 3,376,293
Schedule of Net Revenue By Geographic Area	The following table presents net revenue by geographic area, which were attributed based on the location from which we ship products or provide services. Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net revenue: United States $ 2,200,196 $ 2,214,175 $ 6,694,761 $ 6,577,373 Outside of the United States 264,681 119,786 600,966 351,068 Consolidated net revenue $ 2,464,877 $ 2,333,961 $ 7,295,727 $ 6,928,441

Condensed Consolidating Finan_2

Condensed Consolidating Financial Information (Tables)	9 Months Ended
	Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Condensed Income Statement	The following tables present condensed consolidating financial information for: Owens & Minor, Inc. (O&M); the guarantors of Owens & Minor, Inc.’s 2021 Notes and 2024 Notes, on a combined basis; and the non-guarantor subsidiaries of the 2021 Notes and 2024 Notes, on a combined basis. The guarantor subsidiaries are 100% owned by Owens & Minor, Inc. Separate financial statements of the guarantor subsidiaries are not presented because the guarantees by our guarantor subsidiaries are full and unconditional, as well as joint and several, and we believe the condensed consolidating financial information is more meaningful in understanding the financial position, results of operations and cash flows of the guarantor subsidiaries. Three Months Ended September 30, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 2,242,265 $ 464,567 $ (241,955 ) $ 2,464,877 Cost of goods sold — 2,015,614 335,819 (239,130 ) 2,112,303 Gross margin — 226,651 128,748 (2,825 ) 352,574 Distribution, selling and administrative expenses 92 191,831 133,089 — 325,012 Acquisition-related and exit and realignment charges — 6,818 909 — 7,727 Other operating (income) expense, net — (1,156 ) (366 ) — (1,522 ) Operating income (loss) (92 ) 29,158 (4,884 ) (2,825 ) 21,357 Interest expense (income), net 6,554 15,717 1,555 — 23,826 Income (loss) before income taxes (6,646 ) 13,441 (6,439 ) (2,825 ) (2,469 ) Income tax provision (benefit) (1,729 ) 2,163 (2,338 ) — (1,904 ) Equity in earnings of subsidiaries 4,352 (12,284 ) — 7,932 — Net income (loss) (565 ) (1,006 ) (4,101 ) 5,107 (565 ) Other comprehensive income (loss) 3,032 3,674 3,032 (6,706 ) 3,032 Comprehensive income (loss) $ 2,467 $ 2,668 $ (1,069 ) $ (1,599 ) $ 2,467 Three Months Ended September 30, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 2,113,450 $ 264,765 $ (44,254 ) $ 2,333,961 Cost of goods sold — 1,919,049 157,439 (44,469 ) 2,032,019 Gross margin — 194,401 107,326 215 301,942 Distribution, selling and administrative expenses (117 ) 159,108 102,054 — 261,045 Acquisition-related and exit and realignment charges — 6,960 2,339 — 9,299 Other operating (income) expense, net — 448 1,479 — 1,927 Operating income (loss) 117 27,885 1,454 215 29,671 Interest expense (income), net 7,018 (1,184 ) 2,903 — 8,737 Income (loss) before income taxes (6,901 ) 29,069 (1,449 ) 215 20,934 Income tax provision (benefit) — 7,881 2,182 — 10,063 Equity in earnings of subsidiaries 17,772 (4,105 ) — (13,667 ) — Net income (loss) 10,871 17,083 (3,631 ) (13,452 ) 10,871 Other comprehensive income (loss) 12,584 12,905 12,254 (25,159 ) 12,584 Comprehensive income (loss) $ 23,455 $ 29,988 $ 8,623 $ (38,611 ) $ 23,455 Nine Months Ended September 30, 2018 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 6,572,420 $ 1,163,679 $ (440,372 ) $ 7,295,727 Cost of goods sold — 5,960,655 769,936 (437,117 ) 6,293,474 Gross margin — 611,765 393,743 (3,255 ) 1,002,253 Distribution, selling and administrative expenses 853 531,665 385,629 — 918,147 Acquisition-related and exit and realignment charges — 44,075 3,341 — 47,416 Goodwill and intangible asset impairment charges — — 165,447 — 165,447 Other operating (income) expense, net — 2,447 (4,728 ) — (2,281 ) Operating income (loss) (853 ) 33,578 (155,946 ) (3,255 ) (126,476 ) Interest expense (income), net 20,167 28,061 4,423 — 52,651 Income (loss) before income taxes (21,020 ) 5,517 (160,369 ) (3,255 ) (179,127 ) Income tax provision (benefit) (5,465 ) (278 ) 1,807 — (3,936 ) Equity in earnings of subsidiaries (159,636 ) (45,994 ) — 205,630 — Net income (loss) (175,191 ) (40,199 ) (162,176 ) 202,375 (175,191 ) Other comprehensive income (loss) (8,087 ) (7,619 ) (8,086 ) 15,705 (8,087 ) Comprehensive income (loss) $ (183,278 ) $ (47,818 ) $ (170,262 ) $ 218,080 $ (183,278 ) Nine Months Ended September 30, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Income (Loss) Net revenue $ — $ 6,436,599 $ 635,900 $ (144,058 ) $ 6,928,441 Cost of goods sold — 5,845,789 369,596 (143,598 ) 6,071,787 Gross margin — 590,810 266,304 (460 ) 856,654 Distribution, selling and administrative expenses 434 480,765 254,154 — 735,353 Acquisition-related and exit and realignment charges — 17,084 4,050 — 21,134 Other operating (income) expense, net — 1,481 662 — 2,143 Operating income (loss) (434 ) 91,480 7,438 (460 ) 98,024 Interest expense (income), net 20,756 (2,777 ) 4,239 — 22,218 Income (loss) before income taxes (21,190 ) 94,257 3,199 (460 ) 75,806 Income tax provision (benefit) — 23,303 2,707 — 26,010 Equity in earnings of subsidiaries 70,986 (2,682 ) — (68,304 ) — Net income (loss) 49,796 68,272 492 (68,764 ) 49,796 Other comprehensive income (loss) 41,141 41,910 40,151 (82,061 ) 41,141 Comprehensive income (loss) $ 90,937 $ 110,182 $ 40,643 $ (150,825 ) $ 90,937
Condensed Consolidating Balance Sheets	September 30, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non- guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 67,240 $ — $ 57,650 $ — $ 124,890 Accounts receivable, net — 742,145 410,172 (282,130 ) 870,187 Merchandise inventories — 1,012,385 196,286 (4,833 ) 1,203,838 Other current assets 204 121,833 171,956 293,993 Total current assets 67,444 1,876,363 836,064 (286,963 ) 2,492,908 Property and equipment, net — 202,091 141,619 — 343,710 Goodwill, net — 382,772 378,401 — 761,173 Intangible assets, net — 191,547 140,625 — 332,172 Due from O&M and subsidiaries — 633,839 — (633,839 ) — Advances to and investment in consolidated subsidiaries 1,955,218 489,349 — (2,444,567 ) — Other assets, net — 63,071 39,247 — 102,318 Total assets $ 2,022,662 $ 3,839,032 $ 1,535,956 $ (3,365,369 ) $ 4,032,281 Liabilities and equity Current liabilities Accounts payable $ — $ 1,052,834 $ 348,069 $ (293,362 ) $ 1,107,541 Accrued payroll and related liabilities — 19,980 27,424 — 47,404 Other current liabilities 22,797 128,488 150,515 301,800 Total current liabilities 22,797 1,201,302 526,008 (293,362 ) 1,456,745 Long-term debt, excluding current portion 546,082 1,080,426 13,947 — 1,640,455 Due to O&M and subsidiaries 661,370 — 526,764 (1,188,134 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 19,361 47,084 — 66,445 Other liabilities — 60,125 16,098 — 76,223 Total liabilities 1,230,249 2,500,104 1,129,901 (1,620,386 ) 3,239,868 Equity Common stock 124,538 — — — 124,538 Paid-in capital 233,920 174,614 643,031 (817,645 ) 233,920 Retained earnings (deficit) 467,126 1,195,966 (215,591 ) (980,375 ) 467,126 Accumulated other comprehensive income (loss) (33,171 ) (31,652 ) (21,385 ) 53,037 (33,171 ) Total equity 792,413 1,338,928 406,055 (1,744,983 ) 792,413 Total liabilities and equity $ 2,022,662 $ 3,839,032 $ 1,535,956 $ (3,365,369 ) $ 4,032,281 December 31, 2017 Owens & Guarantor Non-guarantor Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Accounts receivable, net — 559,269 206,410 (6,743 ) 758,936 Merchandise inventories — 902,190 89,580 (1,577 ) 990,193 Other current assets 100 123,067 205,087 — 328,254 Total current assets 13,800 1,585,391 591,034 (8,320 ) 2,181,905 Property and equipment, net — 107,010 99,480 — 206,490 Goodwill, net — 180,006 533,805 — 713,811 Intangible assets, net — 9,582 174,886 — 184,468 Due from O&M and subsidiaries — 439,654 — (439,654 ) — Advances to and investments in consolidated subsidiaries 2,114,853 558,429 — (2,673,282 ) — Other assets, net — 57,724 31,895 — 89,619 Total assets $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Liabilities and equity Current liabilities Accounts payable $ — $ 824,307 $ 130,028 $ (6,763 ) $ 947,572 Accrued payroll and related liabilities — 15,504 14,912 — 30,416 Other current liabilities 5,822 140,048 185,875 — 331,745 Total current liabilities 5,822 979,859 330,815 (6,763 ) 1,309,733 Long-term debt, excluding current portion 545,352 340,672 14,720 — 900,744 Due to O&M and subsidiaries 562,000 — 506,703 (1,068,703 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 25,493 48,754 — 74,247 Other liabilities — 66,136 9,954 — 76,090 Total liabilities 1,113,174 1,551,050 910,946 (1,214,356 ) 2,360,814 Equity Common stock 122,952 — — — 122,952 Paid-in capital 226,937 174,614 583,869 (758,483 ) 226,937 Retained earnings (deficit) 690,674 1,236,165 (50,416 ) (1,185,749 ) 690,674 Accumulated other comprehensive income (loss) (25,084 ) (24,033 ) (13,299 ) 37,332 (25,084 ) Total equity 1,015,479 1,386,746 520,154 (1,906,900 ) 1,015,479 Total liabilities and equity $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293
Condensed Consolidating Statement Of Cash Flows	Nine Months Ended September 30, 2018 Owens & Guarantor Non-guarantor Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ (175,191 ) $ (40,199 ) $ (162,176 ) $ 202,375 $ (175,191 ) Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities: Equity in earnings of subsidiaries 159,636 45,994 — (205,630 ) — Intercompany dividend — 15,000 — (15,000 ) — Depreciation and amortization — 25,146 48,450 — 73,596 Share-based compensation expense — 10,499 — — 10,499 Goodwill and intangible asset impairment charges — — 165,447 — 165,447 Provision for losses on accounts receivable — (1,206 ) 6,963 — 5,757 Deferred income tax (benefit) expense — (6,506 ) (248 ) — (6,754 ) Changes in operating assets and liabilities: Accounts receivable — (111,108 ) (215,882 ) 275,387 (51,603 ) Merchandise inventories — 124,822 (106,832 ) 3,254 21,244 Accounts payable — 154,987 219,805 (286,594 ) 88,198 Net change in other assets and liabilities 16,959 (76,608 ) 36,919 11,208 (11,522 ) Other, net 641 988 1,209 — 2,838 Cash provided by (used for) operating activities 2,045 141,809 (6,345 ) (15,000 ) 122,509 Investing activities: Acquisitions, net of cash acquired — (751,834 ) — (751,834 ) Additions to property and equipment — (20,754 ) (11,735 ) — (32,489 ) Additions to computer software and intangible assets — (12,351 ) (2,465 ) — (14,816 ) Proceeds from the sale of property and equipment — — 258 — 258 Cash used for investing activities — (784,939 ) (13,942 ) — (798,881 ) Financing activities: Change in intercompany advances 85,643 (89,239 ) 3,596 — — Intercompany dividend — — (15,000 ) 15,000 — Proceeds from issuance of debt — 695,750 — — 695,750 Financing costs paid — (28,512 ) — — (28,512 ) Repayments of debt — (9,375 ) — — (9,375 ) Proceeds from revolving credit facility — 74,762 — — 74,762 Cash dividends paid (32,151 ) — — — (32,151 ) Other, net (1,997 ) (1,121 ) (2,190 ) — (5,308 ) Cash provided by (used for) financing activities 51,495 642,265 (13,594 ) 15,000 695,166 Effect of exchange rate changes on cash and cash equivalents — — 1,574 — 1,574 Net increase (decrease) in cash and cash equivalents 53,540 (865 ) (32,307 ) — 20,368 Cash and cash equivalents at beginning of period 13,700 865 89,957 — 104,522 Cash and cash equivalents at end of period $ 67,240 $ — $ 57,650 $ — $ 124,890 Nine Months Ended September 30, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 49,796 $ 68,272 $ 492 $ (68,764 ) $ 49,796 Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (70,986 ) 2,682 — 68,304 — Depreciation and amortization — 23,281 17,779 — 41,060 Share-based compensation expense — 8,592 — — 8,592 Provision for losses on accounts receivable — (377 ) 1,535 — 1,158 Deferred income tax (benefit) expense — (1,208 ) (3,377 ) — (4,585 ) Changes in operating assets and liabilities: Accounts receivable — (68,655 ) (8,047 ) (2,412 ) (79,114 ) Merchandise inventories — (52,840 ) (3,753 ) 459 (56,134 ) Accounts payable — 85,591 (8,217 ) 2,413 79,787 Net change in other assets and liabilities (65 ) (25,431 ) (15,138 ) — (40,634 ) Other, net (1 ) 5,716 4 — 5,719 Cash provided by (used for) operating activities (21,256 ) 45,623 (18,722 ) — 5,645 Investing activities: Acquisitions, net of cash acquired — — (366,569 ) — (366,569 ) Additions to property and equipment — (17,884 ) (7,079 ) — (24,963 ) Additions to computer software and intangible assets — (5,333 ) (7,493 ) — (12,826 ) Proceeds from the sale of property and equipment — 198 582 — 780 Cash used for investing activities — (23,019 ) (380,559 ) — (403,578 ) Financing activities: Change in intercompany advances 50,452 (87,278 ) 36,826 — — Proceeds from debt issuance — — 250,000 — 250,000 Borrowings from revolving credit facility — 6,013 111,187 — 117,200 Financing costs paid — — (1,798 ) — (1,798 ) Cash dividends paid (47,316 ) — — — (47,316 ) Repurchases of common stock (5,000 ) — — — (5,000 ) Other, net (3,439 ) (1,460 ) (2,464 ) — (7,363 ) Cash provided by (used for) financing activities (5,303 ) (82,725 ) 393,751 — 305,723 Effect of exchange rate changes on cash and cash equivalents — — 5,137 — 5,137 Net increase (decrease) in cash and cash equivalents (26,559 ) (60,121 ) (393 ) — (87,073 ) Cash and cash equivalents at beginning of period 38,015 61,266 86,207 — 185,488 Cash and cash equivalents at end of period $ 11,456 $ 1,145 $ 85,814 $ — $ 98,415

Summary of Significant Accounti

Summary of Significant Accounting Policies (Details) $ in Millions	9 Months Ended
	Sep. 30, 2018USD ($)segment	Dec. 31, 2017USD ($)
Accounting Policies [Abstract]
Number of reportable segments | segment	2
Contract with customer, liability | $	$ 41.7	$ 13

Acquisitions (Details)

Acquisitions (Details) - USD ($) $ in Thousands	Apr. 30, 2018	Aug. 01, 2017	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Mar. 31, 2018	Dec. 31, 2017
Business Acquisition [Line Items]
Goodwill			$ 761,173		$ 761,173			$ 713,811
Payments to acquire businesses, net of cash acquired					751,834	$ 366,569
Acquisition related costs			5,700	$ 4,300	41,000	$ 6,300
Byram Healthcare
Business Acquisition [Line Items]
Business combination, consideration transferred		$ 360,000
Fair value of net assets acquired, net of cash							$ 360,354
Goodwill		$ 284,000					283,758
Payments to acquire businesses, net of cash acquired					$ 6,200
Halyard's Health And IT System
Business Acquisition [Line Items]
Business combination, consideration transferred	$ 758,000
Fair value of net assets acquired, net of cash	758,049
Goodwill	202,766
Minimum | Byram Healthcare
Business Acquisition [Line Items]
Acquired intangible assets , useful life					3 years
Minimum | Halyard's Health And IT System
Business Acquisition [Line Items]
Acquired intangible assets , useful life					8 years
Maximum | Byram Healthcare
Business Acquisition [Line Items]
Acquired intangible assets , useful life					10 years
Maximum | Halyard's Health And IT System
Business Acquisition [Line Items]
Acquired intangible assets , useful life					12 years
Global Solutions
Business Acquisition [Line Items]
Goodwill			489,914		$ 489,914
Global Solutions | Byram Healthcare
Business Acquisition [Line Items]
Goodwill			$ 284,000		$ 284,000
Restatement Adjustment | Byram Healthcare
Business Acquisition [Line Items]
Fair value of net assets acquired, net of cash							(6,215)
Goodwill							$ (4,933)
Restatement Adjustment | Halyard's Health And IT System
Business Acquisition [Line Items]
Fair value of net assets acquired, net of cash	18,401
Goodwill	$ 19,055

Acquisitions - Allocation of pu

Acquisitions - Allocation of purchase price (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Apr. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Aug. 01, 2017
Assets acquired:
Goodwill	$ 761,173			$ 713,811
Halyard's Health And IT System
Assets acquired:
Current assets		$ 307,427
Goodwill		202,766
Intangible assets		191,000
Other noncurrent assets		153,574
Total assets		854,767
Liabilities assumed:
Current liabilities		85,495
Noncurrent liabilities		11,223
Total liabilities		96,718
Fair value of net assets acquired, net of cash		758,049
Byram Healthcare
Assets acquired:
Current assets			$ 61,986
Goodwill			283,758		$ 284,000
Intangible assets			115,000
Other noncurrent assets			3,787
Total assets			464,531
Liabilities assumed:
Current liabilities			72,962
Noncurrent liabilities			31,215
Total liabilities			104,177
Fair value of net assets acquired, net of cash			360,354
Previously Reported [Member] | Halyard's Health And IT System
Assets acquired:
Current assets		307,427
Goodwill		183,711
Intangible assets		191,000
Other noncurrent assets		152,555
Total assets		834,693
Liabilities assumed:
Current liabilities		83,822
Noncurrent liabilities		11,223
Total liabilities		95,045
Fair value of net assets acquired, net of cash		739,648
Previously Reported [Member] | Byram Healthcare
Assets acquired:
Current assets					61,986
Goodwill					288,691
Intangible assets					115,000
Other noncurrent assets					5,069
Total assets					470,746
Liabilities assumed:
Current liabilities					72,962
Noncurrent liabilities					31,215
Total liabilities					104,177
Fair value of net assets acquired, net of cash					$ 366,569
Restatement Adjustment | Halyard's Health And IT System
Assets acquired:
Current assets		0
Goodwill		19,055
Intangible assets		0
Other noncurrent assets		1,019
Total assets		20,074
Liabilities assumed:
Current liabilities		1,673
Noncurrent liabilities		0
Total liabilities		1,673
Fair value of net assets acquired, net of cash		$ 18,401
Restatement Adjustment | Byram Healthcare
Assets acquired:
Current assets			0
Goodwill			(4,933)
Intangible assets			0
Other noncurrent assets			(1,282)
Total assets			(6,215)
Liabilities assumed:
Current liabilities			0
Noncurrent liabilities			0
Total liabilities			0
Fair value of net assets acquired, net of cash			$ (6,215)

Acquisitions - Pro Forma Result

Acquisitions - Pro Forma Results (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Halyard's Health And IT System
Business Acquisition [Line Items]
Net revenue	$ 2,464,877	$ 2,543,961	$ 7,575,727	$ 7,558,441

Financing Receivables and Pay_2

Financing Receivables and Payables - Additional Information (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Financing Receivables and Payables [Line Items]
Other current liabilities	$ 301,800	$ 331,745
Financing Receivables
Financing Receivables and Payables [Line Items]
Other current assets	146,800	192,100
Financing Payables
Financing Receivables and Payables [Line Items]
Other current liabilities	$ 88,100	$ 124,900

Goodwill and Intangible Asset_2

Goodwill and Intangible Assets - Changes in Carrying Amount of Goodwill (Detail) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Dec. 31, 2017
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017	$ 713,811
Currency translation adjustments	(1,503)
Acquisitions (see Note 3)	197,833
Carrying amount of goodwill, September 30, 2018	910,141
Accumulated goodwill impairment, December 31, 2017	0
Goodwill impairment charge	(148,968)
Accumulated goodwill impairment, September 30, 2018	(148,968)
Net carrying amount of goodwill, September 30, 2018	761,173	$ 713,811
Global Solutions
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017	495,860
Currency translation adjustments	(1,013)
Acquisitions (see Note 3)	(4,933)
Carrying amount of goodwill, September 30, 2018	489,914
Accumulated goodwill impairment, December 31, 2017	0
Goodwill impairment charge	0
Accumulated goodwill impairment, September 30, 2018	0
Net carrying amount of goodwill, September 30, 2018	489,914
Global Products
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017	217,951
Currency translation adjustments	(490)
Acquisitions (see Note 3)	202,766
Carrying amount of goodwill, September 30, 2018	420,227
Accumulated goodwill impairment, December 31, 2017	0
Goodwill impairment charge	(148,968)
Accumulated goodwill impairment, September 30, 2018	(148,968)
Net carrying amount of goodwill, September 30, 2018	$ 271,259

Goodwill and Intangible Asset_3

Goodwill and Intangible Assets - Intangible Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Net intangible assets	$ 332,172	$ 184,468
Customer Relationships
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	267,850	199,265
Accumulated amortization	(66,233)	(54,757)
Net intangible assets	201,617	144,508
Tradenames
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	97,000	31,000
Accumulated amortization	(6,308)	(1,769)
Net intangible assets	90,692	29,231
Other Intangibles
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	44,261	12,537
Accumulated amortization	(4,398)	(1,808)
Net intangible assets	$ 39,863	$ 10,729

Goodwill and Intangible Asset_4

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge			$ 148,968
Intangible assets, net	$ 332,172		332,172		$ 184,468
Amortization expense for intangible assets	10,400	$ 5,100	26,100	$ 9,700
Estimated amortization expense for the remainder of 2018	10,400		10,400
Estimated amortization expense for 2019	41,600		41,600
Estimated amortization expense for 2020	40,600		40,600
Estimated amortization expense for 2021	38,900		38,900
Estimated amortization expense for 2022	38,000		38,000
Estimated amortization expense for 2023	37,800		37,800
Global Solutions
Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge			0
Intangible assets, net	112,100		112,100
Global Products
Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge			148,968
Intangible assets, net	220,100		220,100
Customer Relationships
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 201,617		201,617		$ 144,508
Customer Relationships | Global Products
Finite-Lived Intangible Assets [Line Items]
Goodwill and intangible asset impairment charges			$ 16,500

Derivatives (Details)

Derivatives (Details) - USD ($) $ in Millions	3 Months Ended	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2018
Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative instruments, gain (loss) reclassified from accumulated oci into income, effective portion, net		$ 0.4
Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, term of contract		12 months
Derivative instruments, gain (loss) reclassified from accumulated oci into income, effective portion, net	$ 0.1	$ 0.4
Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative instruments, gain (loss) reclassified from accumulated oci into income, effective portion, net	0.4
Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, gain on derivative	$ 0.5
Derivative, loss on derivative		$ 2.3

Derivatives - Outstanding hedge

Derivatives - Outstanding hedges (Details)	Sep. 30, 2018USD ($)
Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative, notional amount	$ 450,000,000
Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, notional amount	20,595,000
Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, notional amount	34,817,000
Level 2 | Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative, fair value, net	1,794,000
Level 2 | Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, fair value, net	166,000
Level 2 | Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, fair value, net	$ 317,000

Derivatives - Gain (loss) inclu

Derivatives - Gain (loss) included in accumulated other comprehensive loss (Details) - Cash Flow Hedging $ in Thousands	9 Months Ended
	Sep. 30, 2018USD ($)
Interest Rate Swap
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, gain (loss) recognized in income, ineffective portion and amount excluded from effectiveness testing, net	$ 1,794
Foreign Exchange Contract
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, gain (loss) recognized in income, ineffective portion and amount excluded from effectiveness testing, net	$ 166

Exit and Realignment Charges -

Exit and Realignment Charges - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Restructuring Cost and Reserve [Line Items]
Total exit and realignment charges	$ 2,005	$ 5,046	$ 6,415	$ 14,842
Incurred costs	1,400	1,900	4,000	7,400
Global Solutions
Restructuring Cost and Reserve [Line Items]
Total exit and realignment charges	2,085	4,454	6,523	13,827
Global Products
Restructuring Cost and Reserve [Line Items]
Total exit and realignment charges	(80)	592	(108)	1,015
Information System Costs
Restructuring Cost and Reserve [Line Items]
Incurred costs	600	1,700	1,900	1,900
Other
Restructuring Cost and Reserve [Line Items]
Incurred costs	$ 800	$ 200	$ 2,100	1,000
Asset Write-Downs
Restructuring Cost and Reserve [Line Items]
Incurred costs				$ 4,500

Exit and Realignment Charges _2

Exit and Realignment Charges - Accrual for Exit and Realignment Charges (Detail) - USD ($) $ in Thousands	3 Months Ended
	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017
Restructuring Reserve [Roll Forward]
Accrued exit and realignment costs, beginning of period	$ 3,143	$ 7,765	$ 11,972	$ 2,808	$ 2,111	$ 2,238
Provision for exit and realignment activities	640	(415)	2,295	3,156	1,382	3,211
Change in estimate	(85)	0	(23)		(18)	(304)
Cash payments	(2,487)	(4,207)	(6,479)	(423)	(667)	(3,034)
Accrued exit and realignment costs, end of period	1,211	3,143	7,765	5,541	2,808	2,111
Lease Obligations
Restructuring Reserve [Roll Forward]
Accrued exit and realignment costs, beginning of period	0	0	0	0	0	0
Provision for exit and realignment activities	0	0	0	0	0	0
Change in estimate	0	0	0		0	0
Cash payments	0	0	0	0	0	0
Accrued exit and realignment costs, end of period	0	0	0	0	0	0
Severance and Other
Restructuring Reserve [Roll Forward]
Accrued exit and realignment costs, beginning of period	3,143	7,765	11,972	2,808	2,111	2,238
Provision for exit and realignment activities	640	(415)	2,295	3,156	1,382	3,211
Change in estimate	(85)	0	(23)		(18)	(304)
Cash payments	(2,487)	(4,207)	(6,479)	(423)	(667)	(3,034)
Accrued exit and realignment costs, end of period	$ 1,211	$ 3,143	$ 7,765	$ 5,541	$ 2,808	$ 2,111

Retirement Plans - Components o

Retirement Plans - Components of Net Periodic Benefit Cost (Detail) - United States - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Defined Benefit Plan Disclosure [Line Items]
Service cost	$ (28)	$ 26	$ 10	$ 53
Interest cost	418	474	1,256	1,422
Recognized net actuarial loss	522	456	1,566	1,367
Net periodic benefit cost	$ 912	$ 956	$ 2,832	$ 2,842

Retirement Plans - Additional I

Retirement Plans - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Foreign Plan
Defined Benefit Plan Disclosure [Line Items]
Health and welfare plans expense	$ 0.5	$ 0.5	$ 1.6	$ 1.3

Debt - Additional Information (

Debt - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2018USD ($)extension	Dec. 31, 2017USD ($)
Debt Instrument [Line Items]
Amount available for borrowing	$ 406,700,000
Long-term debt, maturities, repayments of principal, remainder of 2018	6,900,000
Long-term debt, maturities, repayments of principal, in 2019	27,500,000
Long-term debt, maturities, repayments of principal, in 2020	30,300,000
Long-term debt, maturities, repayments of principal, in 2021	316,600,000
Long-term debt, maturities, repayments of principal, in 2022	527,700,000
Long-term debt, maturities, repayments of principal, in years thereafter	$ 753,800,000
Common stock, voting rights, pledged	65.00%
Senior Notes
Debt Instrument [Line Items]
Rate of interest discounted	0.30%
Term Loan
Debt Instrument [Line Items]
Delayed draw term loan	$ 250,000,000
Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 600,000,000
Number of extensions | extension	2
Term of each extension (in years)	1 year
Revolving Credit Facility | Minimum
Debt Instrument [Line Items]
Commitment fee charged on unused portion of facility	0.125%
Revolving Credit Facility | Maximum
Debt Instrument [Line Items]
Commitment fee charged on unused portion of facility	0.25%
Revolving Credit Facility, Additional Borrowing Capacity
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 200,000,000
2021 Notes | Senior Notes
Debt Instrument [Line Items]
Debt outstanding	$ 275,000,000
Interest rate of debt	3.875%
Debt issued, percent of par	99.50%
Effective yield (percent)	3.951%
Debt outstanding, fair value	$ 258,000,000	$ 278,100,000
2024 Notes | Senior Notes
Debt Instrument [Line Items]
Debt outstanding	$ 275,000,000
Interest rate of debt	4.375%
Debt issued, percent of par	99.60%
Effective yield (percent)	4.422%
Debt outstanding, fair value	$ 235,500,000	277,900,000
2021 and 2024 Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes redemption price (percent)	100.00%
Letter of Credit
Debt Instrument [Line Items]
Borrowings on line of credit	$ 179,400,000
Letters of credit outstanding	13,900,000
Term A-2 Loan
Debt Instrument [Line Items]
Debt outstanding	$ 195,800,000
Debt convent, springing maturity, period	91 days
Term B Loan
Debt Instrument [Line Items]
Debt outstanding	$ 500,000,000
Debt convent, springing maturity, period	91 days
European Lease Agreement | Replaced Line Of Credit [Member]
Debt Instrument [Line Items]
Letters of credit outstanding	$ 6,400,000	$ 1,300,000
LIBOR | Revolving Credit Facility
Debt Instrument [Line Items]
Basis spread on variable rate	2.00%
Base Rate | Term B Loan
Debt Instrument [Line Items]
Basis spread on variable rate	3.50%
Eurodollar | Term B Loan
Debt Instrument [Line Items]
Basis spread on variable rate	4.50%

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Income Tax Disclosure [Abstract]
Effective income tax rate	77.10%	48.10%	2.20%	34.30%
Liability for unrecognized tax benefit	$ 9.5		$ 9.5		$ 13.6
Unrecognized tax benefit highly certain	$ 1.7		1.7
Discrete tax benefit			$ 1.6

Summary of Calculation of Net I

Summary of Calculation of Net Income Per Common Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Numerator:
Net income (loss)	$ (565)	$ 10,871	$ (175,191)	$ 49,796
Less: income allocated to unvested restricted shares	0	(279)	0	(738)
Net income (loss) attributable to common shareholders - basic	(565)	10,592	(175,191)	49,058
Add: undistributed income attributable to unvested restricted shares - basic	0	0	0	16
Less: undistributed income attributable to unvested restricted shares - diluted	0	0	0	(16)
Net income (loss) attributable to common shareholders - diluted	$ (565)	$ 10,592	$ (175,191)	$ 49,058
Denominator:
Weighted average shares outstanding - basic and diluted (in shares)	59,766	59,849	59,996	60,010
Net income per share attributable to common shareholders: basic and diluted (in USD per share)	$ (0.01)	$ 0.18	$ (2.92)	$ 0.82

Shareholders' Equity - Addition

Shareholders' Equity - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2018USD ($)shares
Equity [Abstract]
Share repurchase program, authorized amount	$ 100,000,000
Stock repurchase program, term (in years)	3 years
Treasury stock, acquired (in shares) | shares	0
Stock repurchase program, remaining authorized repurchase amount	$ 94,000,000
Stock repurchase program, expiring date	2019-12

Accumulated Other Comprehensi_3

Accumulated Other Comprehensive Loss Changes in Accumulated Other Comprehensive Income (Loss) by Component (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning Balance			$ 1,015,479	$ 960,038
Amounts reclassified from accumulated other comprehensive income (loss), net of tax
Ending Balance	792,413	$ 1,003,784	792,413	1,003,784
Retirement Plans
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning Balance	(11,312)	(10,743)	(12,066)	(11,209)
Other comprehensive income (loss) before reclassifications	0	0	0	0
Income tax	0	0	0	0
Other comprehensive income (loss) before reclassifications, net of tax	0	0	0	0
Amounts reclassified from accumulated other comprehensive income (loss)	523	456	1,565	1,367
Income tax	(161)	(220)	(449)	(665)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	362	236	1,116	702
Other comprehensive income (loss)	362	236	1,116	702
Ending Balance	(10,950)	(10,507)	(10,950)	(10,507)
Currency Translation Adjustments
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning Balance	(24,942)	(28,348)	(13,185)	(56,245)
Other comprehensive income (loss) before reclassifications	350	12,254	(11,407)	40,151
Income tax	0	0	0	0
Other comprehensive income (loss) before reclassifications, net of tax	350	12,254	(11,407)	40,151
Amounts reclassified from accumulated other comprehensive income (loss)	0	0	0	0
Income tax	0	0	0	0
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	0	0	0	0
Other comprehensive income (loss)	350	12,254	(11,407)	40,151
Ending Balance	(24,592)	(16,094)	(24,592)	(16,094)
Derivatives and Other
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning Balance	51	165	167	(29)
Other comprehensive income (loss) before reclassifications	1,932	94	2,169	288
Income tax	(5)	0	(21)	0
Other comprehensive income (loss) before reclassifications, net of tax	1,927	94	2,148	288
Amounts reclassified from accumulated other comprehensive income (loss)	491	0	65	0
Income tax	(98)	0	(9)	0
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	393	0	56	0
Other comprehensive income (loss)	2,320	94	2,204	288
Ending Balance	2,371	259	2,371	259
Accumulated Other Comprehensive Income (Loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning Balance	(36,203)	(38,926)	(25,084)	(67,483)
Other comprehensive income (loss) before reclassifications	2,282	12,348	(9,238)	40,439
Income tax	(5)	0	(21)	0
Other comprehensive income (loss) before reclassifications, net of tax	2,277	12,348	(9,259)	40,439
Amounts reclassified from accumulated other comprehensive income (loss)	1,014	456	1,630	1,367
Income tax	(259)	(220)	(458)	(665)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	755	236	1,172	702
Other comprehensive income (loss)	3,032	12,584	(8,087)	41,141
Ending Balance	$ (33,171)	$ (26,342)	$ (33,171)	$ (26,342)

Accumulated Other Comprehensi_4

Accumulated Other Comprehensive Loss - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Statement of Comprehensive Income [Abstract]
Amounts reclassified out of accumulated other comprehensive income related to defined benefit pension plans as component of net periodic benefit cost, actuarial net loss	$ 0.5	$ 0.5	$ 1.6	$ 1.4

Segment Information - Financial

Segment Information - Financial Information by Segment (Detail) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018USD ($)	Sep. 30, 2017USD ($)	Sep. 30, 2018USD ($)segment	Sep. 30, 2017USD ($)
Segment Reporting, Revenue Reconciling Item [Line Items]
Number of reportable segments | segment			2
Net revenue	$ 2,464,877	$ 2,333,961	$ 7,295,727	$ 6,928,441
Operating earnings (loss)	21,357	29,671	(126,476)	98,024
Asset impairment	0	0	(165,447)	0
Acquisition-related and exit and realignment charges	(7,727)	(9,299)	(47,416)	(21,134)
Depreciation and amortization	29,782	15,853	73,596	41,060
Capital expenditures	17,251	13,496	47,305	37,789
Operating Segments
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	2,593,677	2,415,346	7,625,847	7,198,780
Operating Segments | Global Solutions
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	2,243,782	2,290,804	6,875,077	6,806,126
Operating earnings (loss)	24,150	37,556	84,742	107,636
Depreciation and amortization	15,829	13,906	47,464	35,305
Capital expenditures	12,006	12,778	40,152	35,035
Operating Segments | Global Products
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	349,895	124,542	750,770	392,654
Operating earnings (loss)	27,634	10,510	61,351	30,199
Depreciation and amortization	13,953	1,947	26,132	5,755
Capital expenditures	5,245	718	7,153	2,754
Intersegment Eliminations
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	(128,800)	(81,385)	(330,120)	(270,339)
Operating earnings (loss)	(2,957)	416	(3,032)	(266)
Intersegment Eliminations | Global Products
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	(128,800)	(81,385)	(330,120)	(270,339)
Segment Reconciling Items
Segment Reporting, Revenue Reconciling Item [Line Items]
Asset impairment	0	0	(165,447)	0
Acquisition-related intangible amortization	(10,366)	(5,071)	(26,147)	(9,737)
Acquisition-related and exit and realignment charges	(7,727)	(9,299)	(47,416)	(21,134)
Other
Segment Reporting, Revenue Reconciling Item [Line Items]
Operating earnings (loss)	$ (9,377)	$ (4,441)	$ (30,527)	$ (8,674)

Segment Information - Consolida

Segment Information - Consolidated Total Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017	Sep. 30, 2017	Dec. 31, 2016
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	$ 4,032,281	$ 3,376,293
Cash and cash equivalents	124,890	104,522	$ 98,415	$ 185,488
Operating Segments
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	3,907,391	3,271,771
Operating Segments | Global Solutions
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	2,779,512	2,870,999
Operating Segments | Global Products
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	1,127,879	400,772
Segment Reconciling Items
Segment Reporting, Asset Reconciling Item [Line Items]
Cash and cash equivalents	$ 124,890	$ 104,522

Segment Information - Net Reven

Segment Information - Net Revenue By Geographical Area (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Segment Reporting Information [Line Items]
Net revenue	$ 2,464,877	$ 2,333,961	$ 7,295,727	$ 6,928,441
United States
Segment Reporting Information [Line Items]
Net revenue	2,200,196	2,214,175	6,694,761	6,577,373
Outside of the United States
Segment Reporting Information [Line Items]
Net revenue	$ 264,681	$ 119,786	$ 600,966	$ 351,068

Condensed Consolidating Finan_3

Condensed Consolidating Financial Information (Details)	9 Months Ended
	Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Percentage of ownership	100.00%

Condensed Consolidating Finan_4

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Income) (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Condensed Financial Statements, Captions [Line Items]
Net revenue	$ 2,464,877	$ 2,333,961	$ 7,295,727	$ 6,928,441
Cost of goods sold	2,112,303	2,032,019	6,293,474	6,071,787
Gross margin	352,574	301,942	1,002,253	856,654
Distribution, selling, and administrative expenses	325,012	261,045	918,147	735,353
Acquisition-related and exit and realignment charges	7,727	9,299	47,416	21,134
Other operating (income) expense, net	(1,522)	1,927	(2,281)	2,143
Goodwill and intangible asset impairment charges	0	0	165,447	0
Operating income (loss)	21,357	29,671	(126,476)	98,024
Interest expense (income), net	23,826	8,737	52,651	22,218
Income (loss) before income taxes	(2,469)	20,934	(179,127)	75,806
Income tax provision (benefit)	(1,904)	10,063	(3,936)	26,010
Equity in earnings of subsidiaries	0	0	0	0
Net income (loss)	(565)	10,871	(175,191)	49,796
Other comprehensive income (loss)	3,032	12,584	(8,087)	41,141
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	2,467	23,455	(183,278)	90,937
Owens & Minor, Inc.
Condensed Financial Statements, Captions [Line Items]
Net revenue	0	0	0	0
Cost of goods sold	0	0	0	0
Gross margin	0	0	0	0
Distribution, selling, and administrative expenses	92	(117)	853	434
Acquisition-related and exit and realignment charges	0	0	0	0
Other operating (income) expense, net	0	0	0	0
Goodwill and intangible asset impairment charges			0
Operating income (loss)	(92)	117	(853)	(434)
Interest expense (income), net	6,554	7,018	20,167	20,756
Income (loss) before income taxes	(6,646)	(6,901)	(21,020)	(21,190)
Income tax provision (benefit)	(1,729)	0	(5,465)	0
Equity in earnings of subsidiaries	4,352	17,772	(159,636)	70,986
Net income (loss)	(565)	10,871	(175,191)	49,796
Other comprehensive income (loss)	3,032	12,584	(8,087)	41,141
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	2,467	23,455	(183,278)	90,937
Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	2,242,265	2,113,450	6,572,420	6,436,599
Cost of goods sold	2,015,614	1,919,049	5,960,655	5,845,789
Gross margin	226,651	194,401	611,765	590,810
Distribution, selling, and administrative expenses	191,831	159,108	531,665	480,765
Acquisition-related and exit and realignment charges	6,818	6,960	44,075	17,084
Other operating (income) expense, net	(1,156)	448	2,447	1,481
Goodwill and intangible asset impairment charges			0
Operating income (loss)	29,158	27,885	33,578	91,480
Interest expense (income), net	15,717	(1,184)	28,061	(2,777)
Income (loss) before income taxes	13,441	29,069	5,517	94,257
Income tax provision (benefit)	2,163	7,881	(278)	23,303
Equity in earnings of subsidiaries	(12,284)	(4,105)	(45,994)	(2,682)
Net income (loss)	(1,006)	17,083	(40,199)	68,272
Other comprehensive income (loss)	3,674	12,905	(7,619)	41,910
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	2,668	29,988	(47,818)	110,182
Non-guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	464,567	264,765	1,163,679	635,900
Cost of goods sold	335,819	157,439	769,936	369,596
Gross margin	128,748	107,326	393,743	266,304
Distribution, selling, and administrative expenses	133,089	102,054	385,629	254,154
Acquisition-related and exit and realignment charges	909	2,339	3,341	4,050
Other operating (income) expense, net	(366)	1,479	(4,728)	662
Goodwill and intangible asset impairment charges			165,447
Operating income (loss)	(4,884)	1,454	(155,946)	7,438
Interest expense (income), net	1,555	2,903	4,423	4,239
Income (loss) before income taxes	(6,439)	(1,449)	(160,369)	3,199
Income tax provision (benefit)	(2,338)	2,182	1,807	2,707
Equity in earnings of subsidiaries	0	0	0	0
Net income (loss)	(4,101)	(3,631)	(162,176)	492
Other comprehensive income (loss)	3,032	12,254	(8,086)	40,151
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	(1,069)	8,623	(170,262)	40,643
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net revenue	(241,955)	(44,254)	(440,372)	(144,058)
Cost of goods sold	(239,130)	(44,469)	(437,117)	(143,598)
Gross margin	(2,825)	215	(3,255)	(460)
Distribution, selling, and administrative expenses	0	0	0	0
Acquisition-related and exit and realignment charges	0	0	0	0
Other operating (income) expense, net	0	0	0	0
Goodwill and intangible asset impairment charges			0
Operating income (loss)	(2,825)	215	(3,255)	(460)
Interest expense (income), net	0	0	0	0
Income (loss) before income taxes	(2,825)	215	(3,255)	(460)
Income tax provision (benefit)	0	0	0	0
Equity in earnings of subsidiaries	7,932	(13,667)	205,630	(68,304)
Net income (loss)	5,107	(13,452)	202,375	(68,764)
Other comprehensive income (loss)	(6,706)	(25,159)	15,705	(82,061)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	$ (1,599)	$ (38,611)	$ 218,080	$ (150,825)

Condensed Consolidating Finan_5

Condensed Consolidating Financial Information (Condensed Consolidating Balance Sheet) (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017	Sep. 30, 2017	Dec. 31, 2016
Current assets
Cash and cash equivalents	$ 124,890	$ 104,522	$ 98,415	$ 185,488
Accounts receivable, net	870,187	758,936
Merchandise inventories	1,203,838	990,193
Other current assets	293,993	328,254
Total current assets	2,492,908	2,181,905
Property and equipment, net	343,710	206,490
Goodwill, net	761,173	713,811
Intangible assets, net	332,172	184,468
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	102,318	89,619
Total assets	4,032,281	3,376,293
Current liabilities
Accounts payable	1,107,541	947,572
Accrued payroll and related liabilities	47,404	30,416
Other current liabilities	301,800	331,745
Total current liabilities	1,456,745	1,309,733
Long-term debt, excluding current portion	1,640,455	900,744
Due to O&M and subsidiaries	0	0
Intercompany debt	0	0
Deferred income taxes	66,445	74,247
Other liabilities	76,223	76,090
Total liabilities	3,239,868	2,360,814
Equity
Common stock	124,538	122,952
Paid-in capital	233,920	226,937
Retained earnings (deficit)	467,126	690,674
Accumulated other comprehensive loss	(33,171)	(25,084)
Total equity	792,413	1,015,479	1,003,784	960,038
Total liabilities and equity	4,032,281	3,376,293
Owens & Minor, Inc.
Current assets
Cash and cash equivalents	67,240	13,700	11,456	38,015
Accounts receivable, net	0	0
Merchandise inventories	0	0
Other current assets	204	100
Total current assets	67,444	13,800
Property and equipment, net	0	0
Goodwill, net	0	0
Intangible assets, net	0	0
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	1,955,218	2,114,853
Other assets, net	0	0
Total assets	2,022,662	2,128,653
Current liabilities
Accounts payable	0	0
Accrued payroll and related liabilities	0	0
Other current liabilities	22,797	5,822
Total current liabilities	22,797	5,822
Long-term debt, excluding current portion	546,082	545,352
Due to O&M and subsidiaries	661,370	562,000
Intercompany debt	0	0
Deferred income taxes	0	0
Other liabilities	0	0
Total liabilities	1,230,249	1,113,174
Equity
Common stock	124,538	122,952
Paid-in capital	233,920	226,937
Retained earnings (deficit)	467,126	690,674
Accumulated other comprehensive loss	(33,171)	(25,084)
Total equity	792,413	1,015,479
Total liabilities and equity	2,022,662	2,128,653
Guarantor Subsidiaries
Current assets
Cash and cash equivalents	0	865	1,145	61,266
Accounts receivable, net	742,145	559,269
Merchandise inventories	1,012,385	902,190
Other current assets	121,833	123,067
Total current assets	1,876,363	1,585,391
Property and equipment, net	202,091	107,010
Goodwill, net	382,772	180,006
Intangible assets, net	191,547	9,582
Due from O&M and subsidiaries	633,839	439,654
Advances to and investments in consolidated subsidiaries	489,349	558,429
Other assets, net	63,071	57,724
Total assets	3,839,032	2,937,796
Current liabilities
Accounts payable	1,052,834	824,307
Accrued payroll and related liabilities	19,980	15,504
Other current liabilities	128,488	140,048
Total current liabilities	1,201,302	979,859
Long-term debt, excluding current portion	1,080,426	340,672
Due to O&M and subsidiaries	0	0
Intercompany debt	138,890	138,890
Deferred income taxes	19,361	25,493
Other liabilities	60,125	66,136
Total liabilities	2,500,104	1,551,050
Equity
Common stock	0	0
Paid-in capital	174,614	174,614
Retained earnings (deficit)	1,195,966	1,236,165
Accumulated other comprehensive loss	(31,652)	(24,033)
Total equity	1,338,928	1,386,746
Total liabilities and equity	3,839,032	2,937,796
Non-guarantor Subsidiaries
Current assets
Cash and cash equivalents	57,650	89,957	85,814	86,207
Accounts receivable, net	410,172	206,410
Merchandise inventories	196,286	89,580
Other current assets	171,956	205,087
Total current assets	836,064	591,034
Property and equipment, net	141,619	99,480
Goodwill, net	378,401	533,805
Intangible assets, net	140,625	174,886
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	39,247	31,895
Total assets	1,535,956	1,431,100
Current liabilities
Accounts payable	348,069	130,028
Accrued payroll and related liabilities	27,424	14,912
Other current liabilities	150,515	185,875
Total current liabilities	526,008	330,815
Long-term debt, excluding current portion	13,947	14,720
Due to O&M and subsidiaries	526,764	506,703
Intercompany debt	0	0
Deferred income taxes	47,084	48,754
Other liabilities	16,098	9,954
Total liabilities	1,129,901	910,946
Equity
Common stock	0	0
Paid-in capital	643,031	583,869
Retained earnings (deficit)	(215,591)	(50,416)
Accumulated other comprehensive loss	(21,385)	(13,299)
Total equity	406,055	520,154
Total liabilities and equity	1,535,956	1,431,100
Eliminations
Current assets
Cash and cash equivalents	0	0	$ 0	$ 0
Accounts receivable, net	(282,130)	(6,743)
Merchandise inventories	(4,833)	(1,577)
Other current assets		0
Total current assets	(286,963)	(8,320)
Property and equipment, net	0	0
Goodwill, net	0	0
Intangible assets, net	0	0
Due from O&M and subsidiaries	(633,839)	(439,654)
Advances to and investments in consolidated subsidiaries	(2,444,567)	(2,673,282)
Other assets, net	0	0
Total assets	(3,365,369)	(3,121,256)
Current liabilities
Accounts payable	(293,362)	(6,763)
Accrued payroll and related liabilities	0	0
Other current liabilities		0
Total current liabilities	(293,362)	(6,763)
Long-term debt, excluding current portion	0	0
Due to O&M and subsidiaries	(1,188,134)	(1,068,703)
Intercompany debt	(138,890)	(138,890)
Deferred income taxes	0	0
Other liabilities	0	0
Total liabilities	(1,620,386)	(1,214,356)
Equity
Common stock	0	0
Paid-in capital	(817,645)	(758,483)
Retained earnings (deficit)	(980,375)	(1,185,749)
Accumulated other comprehensive loss	53,037	37,332
Total equity	(1,744,983)	(1,906,900)
Total liabilities and equity	$ (3,365,369)	$ (3,121,256)

Condensed Consolidating Finan_6

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Cash Flows) (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Operating activities:
Net income (loss)	$ (565)	$ 10,871	$ (175,191)	$ 49,796
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Equity in earnings of subsidiaries	0	0	0	0
Intercompany dividend			0
Depreciation and amortization	29,782	15,853	73,596	41,060
Share-based compensation expense			10,499	8,592
Goodwill and intangible asset impairment charges	0	0	165,447	0
Provision for losses on accounts receivable			5,757	1,158
Deferred income tax (benefit) expense			(6,754)	(4,585)
Changes in operating assets and liabilities:
Accounts receivable			(51,603)	(79,114)
Merchandise inventories			21,244	(56,134)
Accounts payable			88,198	79,787
Net change in other assets and liabilities			(11,522)	(40,634)
Other, net			2,838	5,719
Cash provided by (used for) operating activities			122,509	5,645
Investing activities:
Acquisitions, net of cash acquired			(751,834)	(366,569)
Additions to property and equipment			(32,489)	(24,963)
Additions to computer software and intangible assets			(14,816)	(12,826)
Proceeds from sale of property and equipment			258	780
Cash used for investing activities			(798,881)	(403,578)
Financing activities:
Change in intercompany advances			0	0
Intercompany dividend			0
Proceeds from issuance of debt			695,750	250,000
Financing costs paid			(28,512)	(1,798)
Repayments of debt			(9,375)	0
Proceeds from revolving credit facility			74,762	117,200
Cash dividends paid			(32,151)	(47,316)
Repurchases of common stock			0	(5,000)
Other, net			(5,308)	(7,363)
Cash provided by financing activities			695,166	305,723
Effect of exchange rate changes on cash and cash equivalents			1,574	5,137
Net increase (decrease) in cash and cash equivalents			20,368	(87,073)
Cash and cash equivalents at beginning of period			104,522	185,488
Cash and cash equivalents at end of period	124,890	98,415	124,890	98,415
Owens & Minor, Inc.
Operating activities:
Net income (loss)	(565)	10,871	(175,191)	49,796
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Equity in earnings of subsidiaries	(4,352)	(17,772)	159,636	(70,986)
Intercompany dividend			0
Depreciation and amortization			0	0
Share-based compensation expense			0	0
Goodwill and intangible asset impairment charges			0
Provision for losses on accounts receivable			0	0
Deferred income tax (benefit) expense			0	0
Changes in operating assets and liabilities:
Accounts receivable			0	0
Merchandise inventories			0	0
Accounts payable			0	0
Net change in other assets and liabilities			16,959	(65)
Other, net			641	(1)
Cash provided by (used for) operating activities			2,045	(21,256)
Investing activities:
Acquisitions, net of cash acquired			0	0
Additions to property and equipment			0	0
Additions to computer software and intangible assets			0	0
Proceeds from sale of property and equipment			0	0
Cash used for investing activities			0	0
Financing activities:
Change in intercompany advances			85,643	50,452
Intercompany dividend			0
Proceeds from issuance of debt			0	0
Financing costs paid			0	0
Repayments of debt			0
Proceeds from revolving credit facility			0	0
Cash dividends paid			(32,151)	(47,316)
Repurchases of common stock				(5,000)
Other, net			(1,997)	(3,439)
Cash provided by financing activities			51,495	(5,303)
Effect of exchange rate changes on cash and cash equivalents			0	0
Net increase (decrease) in cash and cash equivalents			53,540	(26,559)
Cash and cash equivalents at beginning of period			13,700	38,015
Cash and cash equivalents at end of period	67,240	11,456	67,240	11,456
Guarantor Subsidiaries
Operating activities:
Net income (loss)	(1,006)	17,083	(40,199)	68,272
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Equity in earnings of subsidiaries	12,284	4,105	45,994	2,682
Intercompany dividend			(15,000)
Depreciation and amortization			25,146	23,281
Share-based compensation expense			10,499	8,592
Goodwill and intangible asset impairment charges			0
Provision for losses on accounts receivable			(1,206)	(377)
Deferred income tax (benefit) expense			(6,506)	(1,208)
Changes in operating assets and liabilities:
Accounts receivable			(111,108)	(68,655)
Merchandise inventories			124,822	(52,840)
Accounts payable			154,987	85,591
Net change in other assets and liabilities			(76,608)	(25,431)
Other, net			988	5,716
Cash provided by (used for) operating activities			141,809	45,623
Investing activities:
Acquisitions, net of cash acquired			(751,834)	0
Additions to property and equipment			(20,754)	(17,884)
Additions to computer software and intangible assets			(12,351)	(5,333)
Proceeds from sale of property and equipment			0	198
Cash used for investing activities			(784,939)	(23,019)
Financing activities:
Change in intercompany advances			(89,239)	(87,278)
Intercompany dividend			0
Proceeds from issuance of debt			695,750	0
Financing costs paid			(28,512)	0
Repayments of debt			(9,375)
Proceeds from revolving credit facility			74,762	6,013
Cash dividends paid			0	0
Repurchases of common stock				0
Other, net			(1,121)	(1,460)
Cash provided by financing activities			642,265	(82,725)
Effect of exchange rate changes on cash and cash equivalents			0	0
Net increase (decrease) in cash and cash equivalents			(865)	(60,121)
Cash and cash equivalents at beginning of period			865	61,266
Cash and cash equivalents at end of period	0	1,145	0	1,145
Non-guarantor Subsidiaries
Operating activities:
Net income (loss)	(4,101)	(3,631)	(162,176)	492
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Equity in earnings of subsidiaries	0	0	0	0
Intercompany dividend			0
Depreciation and amortization			48,450	17,779
Share-based compensation expense			0	0
Goodwill and intangible asset impairment charges			165,447
Provision for losses on accounts receivable			6,963	1,535
Deferred income tax (benefit) expense			(248)	(3,377)
Changes in operating assets and liabilities:
Accounts receivable			(215,882)	(8,047)
Merchandise inventories			(106,832)	(3,753)
Accounts payable			219,805	(8,217)
Net change in other assets and liabilities			36,919	(15,138)
Other, net			1,209	4
Cash provided by (used for) operating activities			(6,345)	(18,722)
Investing activities:
Acquisitions, net of cash acquired			0	(366,569)
Additions to property and equipment			(11,735)	(7,079)
Additions to computer software and intangible assets			(2,465)	(7,493)
Proceeds from sale of property and equipment			258	582
Cash used for investing activities			(13,942)	(380,559)
Financing activities:
Change in intercompany advances			3,596	36,826
Intercompany dividend			15,000
Proceeds from issuance of debt			0	250,000
Financing costs paid			0	(1,798)
Repayments of debt			0
Proceeds from revolving credit facility			0	111,187
Cash dividends paid			0	0
Repurchases of common stock				0
Other, net			(2,190)	(2,464)
Cash provided by financing activities			(13,594)	393,751
Effect of exchange rate changes on cash and cash equivalents			1,574	5,137
Net increase (decrease) in cash and cash equivalents			(32,307)	(393)
Cash and cash equivalents at beginning of period			89,957	86,207
Cash and cash equivalents at end of period	57,650	85,814	57,650	85,814
Eliminations
Operating activities:
Net income (loss)	5,107	(13,452)	202,375	(68,764)
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities:
Equity in earnings of subsidiaries	(7,932)	13,667	(205,630)	68,304
Intercompany dividend			15,000
Depreciation and amortization			0	0
Share-based compensation expense			0	0
Goodwill and intangible asset impairment charges			0
Provision for losses on accounts receivable			0	0
Deferred income tax (benefit) expense			0	0
Changes in operating assets and liabilities:
Accounts receivable			275,387	(2,412)
Merchandise inventories			3,254	459
Accounts payable			(286,594)	2,413
Net change in other assets and liabilities			11,208	0
Other, net			0	0
Cash provided by (used for) operating activities			(15,000)	0
Investing activities:
Acquisitions, net of cash acquired				0
Additions to property and equipment			0	0
Additions to computer software and intangible assets			0	0
Proceeds from sale of property and equipment			0	0
Cash used for investing activities			0	0
Financing activities:
Change in intercompany advances			0	0
Intercompany dividend			(15,000)
Proceeds from issuance of debt			0	0
Financing costs paid			0	0
Repayments of debt			0
Proceeds from revolving credit facility			0	0
Cash dividends paid			0	0
Repurchases of common stock				0
Other, net			0	0
Cash provided by financing activities			15,000	0
Effect of exchange rate changes on cash and cash equivalents			0	0
Net increase (decrease) in cash and cash equivalents			0	0
Cash and cash equivalents at beginning of period			0	0
Cash and cash equivalents at end of period	$ 0	$ 0	$ 0	$ 0